|5Jan 18, 12:04 PM ET

Clark Douglas R 5

5 · MIDWEST HOLDING INC. · Filed Jan 18, 2013

Insider Transaction Report

Form 5
Period: 2012-12-31
Transactions
  • Other

    Common Stock

    2012-05-01+2,16445,428 total
Footnotes (1)
  • [F1]The reported transaction is a 5% stock dividend, payable on May 1, 2012 to common shareholders of record as of April 17, 2012. Fractional shares are rounded up to the next whole share.

Documents

1 file
  • 5
    clark_form5.xmlPrimary

    ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES