0001209191-20-065480.txt : 20201230 0001209191-20-065480.hdr.sgml : 20201230 20201230140107 ACCESSION NUMBER: 0001209191-20-065480 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201229 FILED AS OF DATE: 20201230 DATE AS OF CHANGE: 20201230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILLIAMS R JAMISON JR CENTRAL INDEX KEY: 0001339153 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37536 FILM NUMBER: 201425343 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 2020-12-29 0 0001502292 Conifer Holdings, Inc. CNFR 0001339153 WILLIAMS R JAMISON JR 550 W. MERRILL STREET SUITE 200 BIRMINGHAM MI 48009 1 0 0 0 Common Stock 2020-12-29 4 P 0 10000 2.62 A 405458 D Brian J. Roney, by Power of Attorney 2020-12-30