0001209191-20-039678.txt : 20200701 0001209191-20-039678.hdr.sgml : 20200701 20200701144718 ACCESSION NUMBER: 0001209191-20-039678 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200630 FILED AS OF DATE: 20200701 DATE AS OF CHANGE: 20200701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RONEY BRIAN J CENTRAL INDEX KEY: 0001339151 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37536 FILM NUMBER: 201005077 MAIL ADDRESS: STREET 1: 28819 FRANKLIN ROAD CITY: SOUTHFIELD STATE: MI ZIP: 48034 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Conifer Holdings, Inc. CENTRAL INDEX KEY: 0001502292 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 271298795 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 550 WEST MERRILL STREET STREET 2: SUITE 200 CITY: BIRMINGHAM STATE: MI ZIP: 48009 BUSINESS PHONE: (248) 559-0840 MAIL ADDRESS: STREET 1: 550 WEST MERRILL STREET STREET 2: SUITE 200 CITY: BIRMINGHAM STATE: MI ZIP: 48009 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-06-30 0 0001502292 Conifer Holdings, Inc. CNFR 0001339151 RONEY BRIAN J 550 WEST MERRILL STREET SUITE 200 BIRMINGHAM MI 48009 0 1 0 0 President Stock Option (right to buy) 3.81 2020-06-30 4 A 0 30000 0.00 A 2030-06-30 Common Stock 30000 30000 D Represents an option grant for the purchase of 30,000 shares. Vesting will occur in annual increments of 20% beginning on the first anniversary of the date of grant, so that all of the options will be vested on the five-year anniversary. Brian J. Roney 2020-07-01