0001339151-16-000004.txt : 20160527 0001339151-16-000004.hdr.sgml : 20160527 20160527162735 ACCESSION NUMBER: 0001339151-16-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160527 FILED AS OF DATE: 20160527 DATE AS OF CHANGE: 20160527 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 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: 161682747 MAIL ADDRESS: STREET 1: 28819 FRANKLIN ROAD CITY: SOUTHFIELD STATE: MI ZIP: 48034 4 1 wf-form4_146438084182947.xml FORM 4 X0306 4 2016-05-27 0 0001502292 Conifer Holdings, Inc. CNFR 0001339151 RONEY BRIAN J 550 W. MERRILL STREET SUITE 200 BIRMINGHAM MI 48009 0 1 0 0 President Common Stock 2016-05-27 4 P 0 2000 6.3999 A 238771 D Common Stock 29908 I IRRA Brian J. Roney 2016-05-27