SEC Form 4/A · accession 0001174947-18-000016
NI Holdings, Inc. · NODK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Brian R. Doom
Officer — Executive Vice President & CFO
Period of report
Dec 11, 2017
Accepted (ET)
Jan 9, 2018 · 4:27 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001681206
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3 | Dec 11, 2017 | A | 13,000 | $0.00 | A | 33,000 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares are represented by restricted stock units.
- F2Includes restricted stock units.
- F3Amended total to reflect correction of error.
Remarks
Exhibit 24.1 - Power of Attorney