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