0001393726-21-000109.txt : 20211007 0001393726-21-000109.hdr.sgml : 20211007 20211007100235 ACCESSION NUMBER: 0001393726-21-000109 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211006 FILED AS OF DATE: 20211007 DATE AS OF CHANGE: 20211007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Bradley E. CENTRAL INDEX KEY: 0001579089 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33549 FILM NUMBER: 211311343 MAIL ADDRESS: STREET 1: 780 THIRD AVENUE, 21ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 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_163361534398389.xml FORM 4 X0306 4 2021-10-06 0 0001393726 TIPTREE INC. TIPT 0001579089 Smith Bradley E. C/O TIPTREE INC. 299 PARK AVENUE, 13TH FLOOR NEW YORK NY 10171 1 0 0 0 Common Stock 2021-10-06 4 A 0 3184 0 A 88380 D Common Stock 63738 I By: Kahala Capital Advisors LLC Represents the stock component of the director's annual retainer fee, which is paid quarterly in arrears. The reporting person is a principal of Kahala Capital Advisors LLC. The number of shares reflects a total which is greater than the reporting person's pecuniary interest. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest. /s/ Neil C. Rifkind as Attorney-in-Fact for Bradley E. Smith 2021-10-07