0001206774-16-003988.txt : 20160105 0001206774-16-003988.hdr.sgml : 20160105 20160105103256 ACCESSION NUMBER: 0001206774-16-003988 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151215 FILED AS OF DATE: 20160105 DATE AS OF CHANGE: 20160105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MIDWEST HOLDING INC. CENTRAL INDEX KEY: 0000355379 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 200362426 STATE OF INCORPORATION: NE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8101 O STREET STREET 2: SUITE S111 CITY: LINCOLN STATE: NE ZIP: 68510 BUSINESS PHONE: 402-489-8266 MAIL ADDRESS: STREET 1: 8101 O STREET STREET 2: SUITE S111 CITY: LINCOLN STATE: NE ZIP: 68510 FORMER COMPANY: FORMER CONFORMED NAME: MIDWEST HOLDING INC DATE OF NAME CHANGE: 20000101 FORMER COMPANY: FORMER CONFORMED NAME: MIDWEST NATIONAL CORP DATE OF NAME CHANGE: 19860123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Havranek Debra CENTRAL INDEX KEY: 0001658529 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10685 FILM NUMBER: 161320437 MAIL ADDRESS: STREET 1: 2900 SOUTH 70TH STREET STREET 2: SUITE 400 CITY: LINCOLN STATE: NE ZIP: 68506 3 1 havranek_form3.xml INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES X0206 3 2015-12-15 0 0000355379 MIDWEST HOLDING INC. NONE. 0001658529 Havranek Debra 2900 SOUTH 70TH STREET, SUITE 400 LINCOLN NE 68506 0 1 0 0 VP, Financial Reporting Common Stock 0 D /s/ Debra Havranek 2015-12-30