0001209191-20-042704.txt : 20200716 0001209191-20-042704.hdr.sgml : 20200716 20200716201337 ACCESSION NUMBER: 0001209191-20-042704 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20200716 FILED AS OF DATE: 20200716 DATE AS OF CHANGE: 20200716 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Baker Blake CENTRAL INDEX KEY: 0001818172 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39392 FILM NUMBER: 201032522 MAIL ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blake Baker Enterprises I Inc. CENTRAL INDEX KEY: 0001817812 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39392 FILM NUMBER: 201032523 BUSINESS ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 BUSINESS PHONE: (952) 974-2222 MAIL ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blake Baker Enterprises II Inc. CENTRAL INDEX KEY: 0001817813 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39392 FILM NUMBER: 201032524 BUSINESS ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 BUSINESS PHONE: (952) 974-2222 MAIL ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blake Baker Enterprises III Inc. CENTRAL INDEX KEY: 0001817815 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39392 FILM NUMBER: 201032525 BUSINESS ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 BUSINESS PHONE: (952) 974-2222 MAIL ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Baker Family Trust CENTRAL INDEX KEY: 0001818171 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39392 FILM NUMBER: 201032526 BUSINESS ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 BUSINESS PHONE: (952) 974-2222 MAIL ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Trean Insurance Group, Inc. CENTRAL INDEX KEY: 0001801754 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 844512647 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 BUSINESS PHONE: (952) 974-2222 MAIL ADDRESS: STREET 1: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2020-07-16 0 0001801754 Trean Insurance Group, Inc. TIG 0001818172 Baker Blake C/O TREAN INSURANCE GROUP, INC. 150 LAKE STREET WEST WAYZATA MN 55391 0 0 1 0 0001817812 Blake Baker Enterprises I Inc. C/O TREAN INSURANCE GROUP, INC. 150 LAKE STREET WEST WAYZATA MN 55391 0 0 1 0 0001817813 Blake Baker Enterprises II Inc. C/O TREAN INSURANCE GROUP, INC. 150 LAKE STREET WEST WAYZATA MN 55391 0 0 1 0 0001817815 Blake Baker Enterprises III Inc. C/O TREAN INSURANCE GROUP, INC. 150 LAKE STREET WEST WAYZATA MN 55391 0 0 1 0 0001818171 Baker Family Trust C/O TREAN INSURANCE GROUP, INC. 150 LAKE STREET WEST WAYZATA MN 55391 0 0 1 0 Common Stock, par value $0.01 per share 4208658 I As trustee Common Stock, par value $0.01 per share 1202474 I As trustee Common Stock, par value $0.01 per share 1202474 I As trustee Held by Blake Baker Enterprises I, Inc. (together with Blake Baker Enterprises II, Inc. and Blake Baker Enterprises III, Inc., the "Blake Baker Enterprises Entities"). The Blake Baker Enterprises Entities are owned by The Baker Family Trust, dated July 8, 2019, of which Blake Baker is the sole settlor and trustee. Held by Blake Baker Enterprises II, Inc. Held by Blake Baker Enterprises III, Inc. /s/ Blake Baker 2020-07-16 /s/ Blake Baker, authorized signatory 2020-07-16 /s/ Blake Baker, authorized signatory 2020-07-16 /s/ Blake Baker, authorized signatory 2020-07-16 /s/ Blake Baker, as trustee 2020-07-16 EX-24 2 attachment1.htm EX-24 DOCUMENT


POWER OF ATTORNEY

Know all by these presents, that the undersigned hereby constitutes and appoints each of Andrew M. O’Brien and Julie A. Baron or either of them signing singly, and with full power of substitution, the undersigned's true and lawful attorney-in-fact to:

(1)           execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Trean Insurance Group, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

(2)           do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the U.S. Securities and Exchange Commission (the "SEC")  and any stock exchange or similar authority; and

(3)           take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 13th day of July, 2020.

 
By:    
/s/ Blake Baker
  
 
Name:  Blake Baker
  


EX-24.1 3 attachment2.htm EX-24.1 DOCUMENT


POWER OF ATTORNEY

Know all by these presents, that the undersigned hereby constitutes and appoints each of Andrew M. O’Brien and Julie A. Baron or either of them signing singly, and with full power of substitution, the undersigned's true and lawful attorney-in-fact to:

(1)           execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Trean Insurance Group, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

(2)           do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the U.S. Securities and Exchange Commission (the "SEC")  and any stock exchange or similar authority; and

(3)           take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 13th day of July, 2020.

 
THE BAKER FAMILY TRUST
       
 
By:    
/s/ Blake Baker
  
 
Name:  Blake Baker
  
 
Title:  Trustee