0001628280-17-006933.txt : 20170706 0001628280-17-006933.hdr.sgml : 20170706 20170706143538 ACCESSION NUMBER: 0001628280-17-006933 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170705 FILED AS OF DATE: 20170706 DATE AS OF CHANGE: 20170706 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldwasser Lesley CENTRAL INDEX KEY: 0001465575 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33549 FILM NUMBER: 17951815 MAIL ADDRESS: STREET 1: 312 W. 102ND ST. CITY: NEW YORK STATE: NY ZIP: 10025 4 1 wf-form4_149936612495497.xml FORM 4 X0306 4 2017-07-05 0 0001393726 TIPTREE INC. TIPT 0001465575 Goldwasser Lesley C/O TIPTREE INC. 780 THIRD AVENUE, 21ST FLOOR NEW YORK NY 10017 1 0 0 0 Class A Common Stock 2017-07-05 4 A 0 2754 0 A 16618 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 Lesley Goldwasser 2017-07-06