0001140361-16-090885.txt : 20161228 0001140361-16-090885.hdr.sgml : 20161228 20161228114809 ACCESSION NUMBER: 0001140361-16-090885 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161227 FILED AS OF DATE: 20161228 DATE AS OF CHANGE: 20161228 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KINGSTONE COMPANIES, INC. CENTRAL INDEX KEY: 0000033992 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 362476480 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15 JOYS LANE CITY: KINGSTON STATE: NY ZIP: 12401 BUSINESS PHONE: 516 374-7600 MAIL ADDRESS: STREET 1: 15 JOYS LANE CITY: KINGSTON STATE: NY ZIP: 12401 FORMER COMPANY: FORMER CONFORMED NAME: DCAP GROUP INC DATE OF NAME CHANGE: 20050210 FORMER COMPANY: FORMER CONFORMED NAME: DCAP GROUP INC/ DATE OF NAME CHANGE: 19990702 FORMER COMPANY: FORMER CONFORMED NAME: EXTECH CORP DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDSTEIN BARRY CENTRAL INDEX KEY: 0001023338 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-01665 FILM NUMBER: 162071809 MAIL ADDRESS: STREET 1: 15 JOYS LANE CITY: KINGSTON STATE: NY ZIP: 12401 4 1 doc1.xml FORM 4 X0306 4 2016-12-27 0 0000033992 KINGSTONE COMPANIES, INC. KINS 0001023338 GOLDSTEIN BARRY 15 JOYS LANE KINGSTON NY 12401 1 1 1 0 President, COB, CEO Common Stock 2016-12-27 5 G 0 1000 D 815050 D Common Stock 35900 I Retirement Trust Common Stock 144161 I Held by Spouse Option 6.73 2019-08-12 Common Stock 250000 250000 D Charitable gift to South Nassau Communities Hospital. The option is exercisable to the extent of 62,500 shares on each of August 12, 2014, 2015, 2016 and 2017. This filing shall not be deemed an admission that the Reporting Person is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of any equity securities covered by this statement. /s/ Fred Skolnik, by power of attorney, for Barry B. Goldstein 2016-12-27