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