0001072625-13-000004.txt : 20131112
0001072625-13-000004.hdr.sgml : 20131111
20131112161010
ACCESSION NUMBER: 0001072625-13-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131111
FILED AS OF DATE: 20131112
DATE AS OF CHANGE: 20131112
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
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: 001-35816
FILM NUMBER: 131210259
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
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2013-11-11
0
0001539894
Atlas Financial Holdings, Inc.
AFH
0001072625
KINGSWAY AMERICA INC
150 PIERCE RD
ITASCA
IL
60143
0
0
0
1
Affiliate
Restricted Voting Common Shares
2013-11-11
4
S
0
600000
12.9
D
132863
I
By Mendota Insurance Company
Of the total disposed shares, 109,368 shares were held directly by Kingsway America Inc., 393,118 shares were held indirectly by Kingsway America Inc. through its 100% owned subsidiary, Mendota Insurance Company, and 97,514 shares were held indirectly by Kingsway America Inc. through its 100% owned subsidiary, Universal Casualty Company.
Mendota Insurance Company is a 100% owned subsidiary of Kingsway America Inc.
/s/ Larry G. Swets, Jr.
2013-11-12