Conifer Holdings, Inc.·4

Jan 3, 5:06 PM ET

PETCOFF JAMES G 4

4 · Conifer Holdings, Inc. · Filed Jan 3, 2023

Insider Transaction Report

Form 4
Period: 2022-12-30
PETCOFF JAMES G
DirectorChairman and CEO10% Owner
Transactions
  • Sale

    Common Stock

    2022-12-30$1.50/sh200,000$300,0002,698,607 total(indirect: By Trust)
Holdings
  • Common Stock

    (indirect: By LLC)
    58,765
  • Common Stock

    480,275
Footnotes (3)
  • [F1]These shares were sold to an individual person on December 30, 2022. These shares were sold for tax purposes.
  • [F2]These shares are owned indirectly by Mr. Petcoff as trustee of the James G. Petcoff Revocable Trust. Mr. Petcoff is Chairman, Co-CEO and a director of the issuer.
  • [F3]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.

Documents

1 file
  • 4
    doc4.xmlPrimary

    FORM 4 SUBMISSION