0001628280-17-012467.txt : 20171220 0001628280-17-012467.hdr.sgml : 20171220 20171220163025 ACCESSION NUMBER: 0001628280-17-012467 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171218 FILED AS OF DATE: 20171220 DATE AS OF CHANGE: 20171220 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: 171267048 MAIL ADDRESS: STREET 1: TRICADIA CAPITAL STREET 2: 780 THIRD AVENUE, 29TH 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: 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_151380541205103.xml FORM 4 X0306 4 2017-12-18 0 0001393726 TIPTREE INC. TIPT 0001499674 Inayatullah Arif C/O TRICADIA HOLDINGS, L.P. 780 THIRD AVE, 29TH FLOOR NEW YORK NY 10017 0 0 1 0 Tiptree Financial Partners, L.P. partnership unit 2017-12-18 4 J 0 395733 A 2014-07-01 Class A Common Stock 1107261.0 1724556 D Tiptree Financial Partners, L.P. partnership unit warrant 7.59 2017-12-18 4 J 0 143622 A 2014-07-01 2022-06-30 Class A Common Stock 401854.0 401854 D From and after July 1, 2014, the limited partners of Tiptree Financial Partners, L.P. ("TFP") have the ability to exchange TFP partnership units for Tiptree Class A common stock at a rate of 2.798 shares of Class A common stock per partnership unit. The Reporting Person was a member of TFPLP Holdings I LLC and received securities upon the distribution of all of TFPLP Holdings I LLC's assets to its members. /s/ Neil C. Rifkind, as Attorney-in-fact for Arif Inayatullah 2017-12-20