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