Conifer Holdings, Inc.·4

Dec 14, 7:51 PM ET

PETCOFF JAMES G 4

4 · Conifer Holdings, Inc. · Filed Dec 14, 2021

Insider Transaction Report

Form 4
Period: 2021-12-10
PETCOFF JAMES G
DirectorChairman and CEO10% Owner
Transactions
  • Purchase

    Common Stock

    2021-12-10$2.23/sh+6,300$14,0806,300 total(indirect: By LLC)
  • Purchase

    Common Stock

    2021-12-14$2.34/sh+4,898$11,47712,471 total(indirect: By LLC)
  • Purchase

    Common Stock

    2021-12-13$2.38/sh+1,273$3,0247,573 total(indirect: By LLC)
Holdings
  • Common Stock

    480,278
  • Common Stock

    (indirect: By Trust)
    2,148,607
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

1 file
  • 4
    doc4.xmlPrimary

    FORM 4 SUBMISSION