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