0001104659-24-064583.txt : 20240523
0001104659-24-064583.hdr.sgml : 20240523
20240523100158
ACCESSION NUMBER: 0001104659-24-064583
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: Mathew Prakash
CENTRAL INDEX KEY: 0001964721
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37973
FILM NUMBER: 24975463
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
tm2414960-6_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2024-05-22
0
0001681206
NI Holdings, Inc.
NODK
0001964721
Mathew Prakash
1101 FIRST AVENUE NORTH
FARGO
ND
58102
1
0
0
0
0
Common Stock
2024-05-22
4
A
0
3400
0.00
A
7200
D
These shares are represented by restricted stock units, and will be deferred issuance until after separation from service.
Includes restricted stock units.
These shares include 3,400 restricted stock units that will be deferred until after separation from service.
/s/ Timothy J. Milius
2024-05-23