SEC Form 5 · accession 0001768102-19-000001
Federal Life Group, Inc. · FLF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Insurance Capital Group, LLC
10% Owner
Period of report
Dec 31, 2018
Accepted (ET)
Feb 14, 2019 · 3:15 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 stock | Dec 18, 2018 | P | 160,000 | $10.50 | A | 2,825,500 | D | |
| common stock | Dec 19, 2018 | P | 1,160,000 | $10.50 | A | 2,825,500 | D | |
| common stock | Dec 20, 2018 | P | 500 | $10.00 | A | 2,825,500 | D | |
| common stock | holding | — | — | — | 2,825,500 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On December 11, 2018, Insurance Capital Group, LLC became a beneficial owner of more than 10% of the issuer's common stock by purchasing 1,505,000 shares of the issuer's common stock pursuant to the issuer's initial public offering.