0001072625-12-000003.txt : 20121017 0001072625-12-000003.hdr.sgml : 20121017 20121017173730 ACCESSION NUMBER: 0001072625-12-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120928 FILED AS OF DATE: 20121017 DATE AS OF CHANGE: 20121017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KINGSWAY AMERICA INC CENTRAL INDEX KEY: 0001072625 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54627 FILM NUMBER: 121149121 BUSINESS ADDRESS: STREET 1: 1515 WOODFIELD ROAD SUITE 220 CITY: SCHAUMBURG STATE: IL ZIP: 60173 MAIL ADDRESS: STREET 1: 1515 WOODFIELD ROAD STREET 2: SUITE 220 CITY: SCHAUMBURG STATE: IL ZIP: 60173 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Atlas Financial Holdings, Inc. CENTRAL INDEX KEY: 0001539894 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 275466079 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 NORTHWEST POINT BOULEVARD CITY: ELK GROVE VILLAGE STATE: IL ZIP: 60007 BUSINESS PHONE: 847-700-8000 MAIL ADDRESS: STREET 1: 150 NORTHWEST POINT BOULEVARD CITY: ELK GROVE VILLAGE STATE: IL ZIP: 60007 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2012-09-28 0 0001539894 Atlas Financial Holdings, Inc. AFH.V 0001072625 KINGSWAY AMERICA INC 150 PIERCE RD ITASCA IL 60143 0 0 1 0 Restricted Voting Common Shares 2012-09-28 4 S 0 1621621 1.88 D 12183240 D /s/ Larry G. Swets, Jr. 2012-10-17