0001393726-21-000038.txt : 20210414 0001393726-21-000038.hdr.sgml : 20210414 20210414160935 ACCESSION NUMBER: 0001393726-21-000038 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210413 FILED AS OF DATE: 20210414 DATE AS OF CHANGE: 20210414 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Inayatullah Arif CENTRAL INDEX KEY: 0001499674 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33549 FILM NUMBER: 21825808 MAIL ADDRESS: STREET 1: C/O TIPTREE INC. STREET 2: 299 PARK AVENUE 13TH FL. CITY: NEW YORK STATE: NY ZIP: 10171 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: 299 PARK AVENUE STREET 2: 13TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10171 BUSINESS PHONE: 212-446-1410 MAIL ADDRESS: STREET 1: 299 PARK AVENUE STREET 2: 13TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10171 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_161843095590597.xml FORM 4 X0306 4 2021-04-13 0 0001393726 TIPTREE INC. TIPT 0001499674 Inayatullah Arif C/O TIPTREE INC. 299 PARK AVENUE, 13TH FL. NEW YORK NY 10171 0 0 1 0 Common Stock 3097094 D Tiptree Inc. warrant 2022 7.046 2018-04-10 2022-06-30 Common Stock 432870.36 432870.36 D Per the terms of these warrants, the exercise price was adjusted from $7.59 to $7.046, as a result of each quarterly dividend paid by Tiptree Inc. since the issuance of this warrant on April 10, 2018. Per the terms of these warrants, the number of shares exercisable was adjusted from 401,854.0 to 432,870.36 as a result of each quarterly dividend paid by Tiptree Inc. since the issuance of this warrant on April 10, 2018. /s/ Neil C. Rifkind, as Attorney-in-fact for Arif Inayatullah 2021-04-14