0001339153-18-000002.txt : 20180328 0001339153-18-000002.hdr.sgml : 20180328 20180328144312 ACCESSION NUMBER: 0001339153-18-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180327 FILED AS OF DATE: 20180328 DATE AS OF CHANGE: 20180328 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: 18718153 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 wf-form4_152226256274055.xml FORM 4 X0306 4 2018-03-27 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 2018-03-27 4 P 0 5000 6 A 348605 D Brian J. Roney, by Power of Attorney 2018-03-28