PETCOFF JAMES G 4
4 · Conifer Holdings, Inc. · Filed Jan 3, 2023
Insider Transaction Report
Form 4
PETCOFF JAMES G
DirectorExecutive Chairman and Co-CEO10% Owner
Transactions
- Sale
Common Stock
[F1][F2]2022-12-30$1.50/sh−200,000$300,000→ 2,698,607 total(indirect: By Trust)
Holdings
- 58,765(indirect: By LLC)
Common Stock
[F3] - 480,275
Common Stock
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.
Signature
Brian J. Roney, by Power of Attorney|2023-01-03