4//SEC Filing
PETCOFF JAMES G 4
Accession 0001209191-21-069627
CIK 0001502292other
Filed
Dec 13, 7:00 PM ET
Accepted
Dec 14, 7:51 PM ET
Size
11.3 KB
Accession
0001209191-21-069627
Insider Transaction Report
Form 4
PETCOFF JAMES G
DirectorChairman and CEO10% Owner
Transactions
- Purchase
Common Stock
2021-12-10$2.23/sh+6,300$14,080→ 6,300 total(indirect: By LLC) - Purchase
Common Stock
2021-12-14$2.34/sh+4,898$11,477→ 12,471 total(indirect: By LLC) - Purchase
Common Stock
2021-12-13$2.38/sh+1,273$3,024→ 7,573 total(indirect: By LLC)
Holdings
- 480,278
Common Stock
- 2,148,607(indirect: By Trust)
Common Stock
Footnotes (5)
- [F1]This transaction was executed in multiple trades at prices ranging from $2.20 to $2.25. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- [F2]These shares are owned by PH Real Estate, LLC, a Michigan limited liability company. Mr. James G. Petcoff and his spouse have a majority interest in PH Real Estate, LLC and have the sole power to vote and dispose of all shares owned by PH Real Estate, LLC.
- [F3]This transaction was executed in multiple trades at prices ranging from $2.37 to $2.38. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- [F4]This transaction was executed in multiple trades at prices ranging from $2.30 to $2.35. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- [F5]These shares are owned indirectly by Mr. Petcoff as trustee of the James G. Petcoff Revocable Trust. Mr. Petcoff is Chairman, CEO and a director of the issuer.
Documents
Issuer
Conifer Holdings, Inc.
CIK 0001502292
Entity typeother
Related Parties
1- filerCIK 0001115666
Filing Metadata
- Form type
- 4
- Filed
- Dec 13, 7:00 PM ET
- Accepted
- Dec 14, 7:51 PM ET
- Size
- 11.3 KB