0001596771-15-000067.txt : 20150820 0001596771-15-000067.hdr.sgml : 20150820 20150820164142 ACCESSION NUMBER: 0001596771-15-000067 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150818 FILED AS OF DATE: 20150820 DATE AS OF CHANGE: 20150820 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: 151066683 MAIL ADDRESS: STREET 1: 28819 FRANKLIN ROAD CITY: SOUTHFIELD STATE: MI ZIP: 48034 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2015-08-18 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 2015-08-18 4 A 0 47619 0 A 226771 D Common Stock 2015-08-18 4 P 0 29908 10.5 A 29908 I IRRA Consists of restricted stock units, the shares underlying which will vest in annual increments of 20% beginning on the first anniversary of the date of grant, so that all of the shares will be vested on the five-year anniversary. Jeffrey H. Kuras, by Power of Attorney 2015-08-20