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Filing Detail
Form 4 - Statement of changes in beneficial ownership of securities:
SEC Accession No. 0001209191-21-069627
Filing Date
2021-12-14
Accepted
2021-12-14 19:51:55
Documents
1
Period of Report
2021-12-10

Document Format Files

Seq Description Document Type Size
1 FORM 4 SUBMISSION doc4.html 4  
1 FORM 4 SUBMISSION doc4.xml 4 9895
  Complete submission text file 0001209191-21-069627.txt   11280
Mailing Address 350 N NINTH STREET SUITE 202 BOISE ID 83702
Business Address
PETCOFF JAMES G (Reporting) CIK: 0001115666 (see all company filings)

Type: 4 | Act: 34 | File No.: 001-37536 | Film No.: 211492526

Mailing Address 550 WEST MERRILL STREET SUITE 200 BIRMINGHAM MI 48009
Business Address 550 WEST MERRILL STREET SUITE 200 BIRMINGHAM MI 48009 (248) 559-0840
Conifer Holdings, Inc. (Issuer) CIK: 0001502292 (see all company filings)

IRS No.: 271298795 | State of Incorp.: MI | Fiscal Year End: 1231
SIC: 6331 Fire, Marine & Casualty Insurance