0001493152-23-038894.txt : 20231031 0001493152-23-038894.hdr.sgml : 20231031 20231031171812 ACCESSION NUMBER: 0001493152-23-038894 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231013 FILED AS OF DATE: 20231031 DATE AS OF CHANGE: 20231031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hayes Rita CENTRAL INDEX KEY: 0001764151 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36366 FILM NUMBER: 231365745 MAIL ADDRESS: STREET 1: C/O 1347 PROPERTY INSURANCE HOLDINGS, IN STREET 2: 1511 N. WESTSHORE BLVD., SUITE 870 CITY: TAMPA STATE: FL ZIP: 33607 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FG Financial Group, Inc. CENTRAL INDEX KEY: 0001591890 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 461119100 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 104 S. WALNUT STREET STREET 2: UNIT 1A CITY: ITASCA STATE: IL ZIP: 60143 BUSINESS PHONE: (847)-773-1665 MAIL ADDRESS: STREET 1: 104 S. WALNUT STREET STREET 2: UNIT 1A CITY: ITASCA STATE: IL ZIP: 60143 FORMER COMPANY: FORMER CONFORMED NAME: 1347 Property Insurance Holdings, Inc. DATE OF NAME CHANGE: 20131113 4 1 ownership.xml X0508 4 2023-10-13 0 0001591890 FG Financial Group, Inc. FGF 0001764151 Hayes Rita FG FINANCIAL GROUP, INC. 104 S. WALNUT ST., UNIT 1A ITASCA IL 60143 1 0 0 0 0 Common Stock 2023-10-30 4 A 0 11338 0 A 79308 D Represents restricted stock units ("RSUs") granted under the 2021 Equity Incentive Plan as director fee payment in lieu of cash. All RSUs vested on grant date. Each RSU represents a contingent right to receive one share of common stock of the Company. Includes remaining 1,078 RSUs granted on January 11, 2019 under the 2018 Equity Incentive Plan as director compensation (also includes the 5,379 RSUs that have vested to date), the remaining 1,544 RSUs granted on August 13, 2019 under the 2018 Equity Incentive Plan as director compensation (also includes the 6,178 RSUs that have vested to date), the remaining 3,485 RSUs granted on August 12, 2020 under the 2018 Equity Incentive Plan as director compensation (also includes the 5,229 RSUs that have vested to date), and the remaining 11,594 RSUs granted on December 17, 2021, under the 2021 Equity Incentive Plan as director compensation (also includes the 2,898 RSUs that have vested to date), and the remaining 25,316 RSUs granted on August 19, 2022, under the 2021 Equity Incentive Plan as director compensation (also includes the 6,329 RSUs that have vested to date). /s/ Rita Hayes 2023-10-31