SEC Form 5 · accession 0001760617-19-000001
Federal Life Group, Inc. · FLF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Matthew T. Popoli
Director · 10% Owner
Period of report
Dec 31, 2018
Accepted (ET)
Feb 14, 2019 · 2:59 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001743886
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| common stockF1 | Dec 18, 2018 | P | 160,000 | $10.50 | A | 2,825,500 | I | Held by Insurance Capital Group, LLC |
| common stockF1 | Dec 19, 2018 | P | 1,160,000 | $10.50 | A | 2,825,500 | I | Held by Insurance Capital Group, LLC |
| common stockF1 | Dec 20, 2018 | P | 500 | $10.00 | A | 2,825,500 | I | Held by Insurance Capital Group, LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The securities held by Insurance Capital Group, LLC ("ICG") may be deemed to be beneficially owned by Matthew T. Popoli (the "Reporting Person"), who is the controlling owner of ICG. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.