0000899243-19-025923.txt : 20191024
0000899243-19-025923.hdr.sgml : 20191024
20191024184958
ACCESSION NUMBER: 0000899243-19-025923
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191017
FILED AS OF DATE: 20191024
DATE AS OF CHANGE: 20191024
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Michelson David W
CENTRAL INDEX KEY: 0001306400
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 191166778
MAIL ADDRESS:
STREET 1: 111 CONGRESSIONAL BLVD.
STREET 2: SUITE 500
CITY: CARMEL
STATE: IN
ZIP: 46032
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FedNat Holding Co
CENTRAL INDEX KEY: 0001069996
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 650248866
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14050 NW 14 STREET
STREET 2: SUITE 180
CITY: SUNRISE
STATE: FL
ZIP: 33323
BUSINESS PHONE: 8002932532
MAIL ADDRESS:
STREET 1: 14050 NW 14 STREET
STREET 2: SUITE 180
CITY: SUNRISE
STATE: FL
ZIP: 33323
FORMER COMPANY:
FORMER CONFORMED NAME: FEDNAT HOLDING Co
DATE OF NAME CHANGE: 20180605
FORMER COMPANY:
FORMER CONFORMED NAME: FEDERATED NATIONAL HOLDING Co
DATE OF NAME CHANGE: 20171221
FORMER COMPANY:
FORMER CONFORMED NAME: FEDERATED NATIONAL HOLDING CO
DATE OF NAME CHANGE: 20120912
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2019-10-17
1
0001069996
FedNat Holding Co
FNHC
0001306400
Michelson David W
14050 N.W. 14TH STREET, SUITE 180
SUNRISE
FL
33323
1
0
0
0
/s/ David W. Michelson
2019-10-23