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