0001628280-17-009615.txt : 20171003 0001628280-17-009615.hdr.sgml : 20171003 20171003142954 ACCESSION NUMBER: 0001628280-17-009615 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171003 FILED AS OF DATE: 20171003 DATE AS OF CHANGE: 20171003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mack John Edward CENTRAL INDEX KEY: 0001381172 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33549 FILM NUMBER: 171117249 MAIL ADDRESS: STREET 1: P.O.BOX 1575 CITY: BRECKENRIDGE STATE: CO ZIP: 80424 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TIPTREE INC. CENTRAL INDEX KEY: 0001393726 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 383754322 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 780 THIRD AVENUE STREET 2: 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-446-1410 MAIL ADDRESS: STREET 1: 780 THIRD AVENUE STREET 2: 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 FORMER COMPANY: FORMER CONFORMED NAME: TIPTREE FINANCIAL INC. DATE OF NAME CHANGE: 20130701 FORMER COMPANY: FORMER CONFORMED NAME: Care Investment Trust Inc. DATE OF NAME CHANGE: 20070320 4 1 wf-form4_150705538099245.xml FORM 4 X0306 4 2017-10-03 0 0001393726 TIPTREE INC. TIPT 0001381172 Mack John Edward C/O TIPTREE INC. 780 THIRD AVENUE, 21ST FLOOR NEW YORK NY 10017 1 0 0 0 Class A Common Stock 2017-10-03 4 A 0 2993 0 A 17716 D Represents the stock component of the director's annual retainer fee, which is paid quarterly in arrears. /s/ Neil C. Rifkind as Attorney-in-Fact for John E. Mack 2017-10-03