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Filing Details

Accession Number:: 0001209191-21-069627
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-12-14 19:51:55
Reporting Period:: 2021-12-10

Accepted Time:: 2021-12-14 19:51:55
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1502292	Conifer Holdings Inc.	CNFR	()	4

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1115666	G James Petcoff	550 W. Merrill Street Suite 200 Birmingham MI 48009	Chairman And Ceo	Yes	Yes	Yes	No

Reported Non-Derivative Transactions

Show Other Fields >>

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2021-12-10	6,300	$2.23	6,300	No	4	P	Indirect	PH Real Estate, LLC
Common Stock	Acquisiton	2021-12-13	1,273	$2.38	7,573	No	4	P	Indirect	PH Real Estate, LLC
Common Stock	Acquisiton	2021-12-14	4,898	$2.34	12,471	No	4	P	Indirect	PH Real Estate, LLC

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	PH Real Estate, LLC
No	4	P	Indirect	PH Real Estate, LLC
No	4	P	Indirect	PH Real Estate, LLC

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	2,148,607	Indirect	James G. Petcoff Rev Trust
Common Stock	480,278	Direct

Footnotes

This transaction was executed in multiple trades at prices ranging from $2.20 to $2.25. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
These shares are owned by PH Real Estate, LLC, a Michigan limited liability company. Mr. James G. Petcoff and his spouse have a majority interest in PH Real Estate, LLC and have the sole power to vote and dispose of all shares owned by PH Real Estate, LLC.
This transaction was executed in multiple trades at prices ranging from $2.37 to $2.38. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
This transaction was executed in multiple trades at prices ranging from $2.30 to $2.35. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
These shares are owned indirectly by Mr. Petcoff as trustee of the James G. Petcoff Revocable Trust. Mr. Petcoff is Chairman, CEO and a director of the issuer.