0001104659-24-064578.txt : 20240523 0001104659-24-064578.hdr.sgml : 20240523 20240523100019 ACCESSION NUMBER: 0001104659-24-064578 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240522 FILED AS OF DATE: 20240523 DATE AS OF CHANGE: 20240523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Launer Cindy CENTRAL INDEX KEY: 0001794835 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37973 FILM NUMBER: 24975458 MAIL ADDRESS: STREET 1: 1101 FIRST AVENUE NORTH CITY: FARGO STATE: ND ZIP: 58102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NI Holdings, Inc. CENTRAL INDEX KEY: 0001681206 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] ORGANIZATION NAME: 02 Finance IRS NUMBER: 812683619 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1101 FIRST AVENUE NORTH CITY: FARGO STATE: ND ZIP: 58102 BUSINESS PHONE: 701-298-4200 MAIL ADDRESS: STREET 1: 1101 FIRST AVENUE NORTH CITY: FARGO STATE: ND ZIP: 58102 4 1 tm2414960-1_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2024-05-22 0 0001681206 NI Holdings, Inc. NODK 0001794835 Launer Cindy 1101 FIRST AVENUE NORTH FARGO ND 58102 1 0 0 0 0 Common Stock 2024-05-22 4 A 0 3400 0.00 A 16800 D These shares are represented by restricted stock units, and will be deferred issuance until after separation from service. Includes restricted stock units that will be deferred issuance until after separation from service. /s/ Timothy J. Milius 2024-05-23