0000351040-24-000009.txt : 20240529
0000351040-24-000009.hdr.sgml : 20240529
20240529174454
ACCESSION NUMBER: 0000351040-24-000009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240528
FILED AS OF DATE: 20240529
DATE AS OF CHANGE: 20240529
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.
CENTRAL INDEX KEY: 0000351040
STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321]
ORGANIZATION NAME: 02 Finance
STATE OF INCORPORATION: WI
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-42111
FILM NUMBER: 24999917
BUSINESS ADDRESS:
STREET 1: 6000 AMERICAN PARKWAY
CITY: MADISON
STATE: WI
ZIP: 53783
BUSINESS PHONE: 6082492111
MAIL ADDRESS:
STREET 1: 6000 AMERICAN PARKWAY
CITY: MADISON
STATE: WI
ZIP: 53783
FORMER NAME:
FORMER CONFORMED NAME: AMERICAN FAMILY MUTUAL INSURANCE CO
DATE OF NAME CHANGE: 19990513
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bowhead Specialty Holdings Inc.
CENTRAL INDEX KEY: 0002002473
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
ORGANIZATION NAME: 02 Finance
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1411 BROADWAY, 38TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10018
BUSINESS PHONE: 2129700269
MAIL ADDRESS:
STREET 1: 1411 BROADWAY, 38TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10018
FORMER COMPANY:
FORMER CONFORMED NAME: Bowhead Holdings Inc.
DATE OF NAME CHANGE: 20231128
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0508
4
2024-05-28
0
0002002473
Bowhead Specialty Holdings Inc.
BOW
0000351040
AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.
6000 AMERICAN PARKWAY
MADISON
WI
53783
1
0
1
1
See Remarks
0
Warrant to Purchase Common Stock
17
2024-05-28
4
A
0
56471
0
A
2025-05-23
2034-05-23
Common Stock
56471
1670721
D
Option (right to buy)
17
2024-05-28
4
A
0
28236
0
A
2027-05-23
2029-05-22
Common Stock
28236
816471
D
Pursuant to a Warrant Agreement, dated May 23, 2024, with the Issuer.
In accordance with its terms, the Warrant became exercisable for an additional 56,471 shares upon closing of the underwriters' over-allotment option on May 28, 2024.
This Warrant will vest as to 20% of the total number of shares subject to the Warrant on the first, second, third, fourth and fifth anniversaries of the vesting commencement date (05/23/2024).
Pursuant to a Call Option Agreement, dated May 22, 2024, with GPC Partners Investments (SPV III) LP.
In accordance with its terms, the Option became exercisable for an additional 28,236 shares upon closing of the underwriters' over-allotment option on May 28, 2024.
American Family Mutual Insurance Company, S.I., By: /s/ Troy Van Beek, Chief Financial Officer
2024-05-29