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