PETCOFF JAMES G 4
4 · Conifer Holdings, Inc. · Filed May 20, 2022
Insider Transaction Report
Form 4
PETCOFF JAMES G
DirectorChairman and CEO10% Owner
Transactions
- Purchase
Common Stock
2022-05-19$1.50/sh+3,008$4,510→ 24,543 total(indirect: By LLC)
Holdings
- 2,148,607(indirect: By Trust)
Common Stock
- 480,275
Common Stock
Footnotes (3)
- [F1]This transaction was executed in multiple trades at prices ranging from $1.49 to $1.50. 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]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.