0001393726-22-000054.txt : 20220628 0001393726-22-000054.hdr.sgml : 20220628 20220628094549 ACCESSION NUMBER: 0001393726-22-000054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220627 FILED AS OF DATE: 20220628 DATE AS OF CHANGE: 20220628 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: 221046866 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_165642393352141.xml FORM 4 X0306 4 2022-06-27 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 2022-06-27 4 M 0 440318 6.927 A 3537412 D Tiptree Inc. warrant 2022 6.927 2022-06-27 4 M 0 440318 0 D 2018-04-10 2022-06-30 Common Stock 440318.0 0 D On June 27, 2022, the Reporting Person exercised the 2022 Warrants at the adjusted exercise price of $6.927. Tiptree received cash proceeds of $3,050,082.79 from the exercise of the 2022 Warrants. /s/ Neil C. Rifkind, as Attorney-in-fact for Arif Inayatullah 2022-06-28