0000921895-21-001680.txt : 20210621 0000921895-21-001680.hdr.sgml : 20210621 20210621175413 ACCESSION NUMBER: 0000921895-21-001680 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210617 FILED AS OF DATE: 20210621 DATE AS OF CHANGE: 20210621 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHARE GREGORY M CENTRAL INDEX KEY: 0001245958 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03978 FILM NUMBER: 211032240 MAIL ADDRESS: STREET 1: THREE FIRST NATIONAL PLZ STREET 2: SUITE 3800 CITY: CHICAGO STATE: IL ZIP: 60602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ambina Unico Holdings LLC CENTRAL INDEX KEY: 0001800946 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03978 FILM NUMBER: 211032241 BUSINESS ADDRESS: STREET 1: 309 GREENWICH AVENUE, SUITE 201 CITY: GREENWICH STATE: CT ZIP: 06830 BUSINESS PHONE: (917) 520-3223 MAIL ADDRESS: STREET 1: 309 GREENWICH AVENUE, SUITE 201 CITY: GREENWICH STATE: CT ZIP: 06830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ambina Partners LLC CENTRAL INDEX KEY: 0001762728 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03978 FILM NUMBER: 211032242 BUSINESS ADDRESS: STREET 1: 309 GREENWICH AVENUE, SUITE 201 CITY: GREENWICH STATE: CT ZIP: 06830 BUSINESS PHONE: (203) 302-1941 MAIL ADDRESS: STREET 1: 309 GREENWICH AVENUE, SUITE 201 CITY: GREENWICH STATE: CT ZIP: 06830 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNICO AMERICAN CORP CENTRAL INDEX KEY: 0000100716 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 952583928 STATE OF INCORPORATION: NV FISCAL YEAR END: 1220 BUSINESS ADDRESS: STREET 1: 26050 MUREAU ROAD CITY: CALABASAS STATE: CA ZIP: 91302 BUSINESS PHONE: 8185919800 MAIL ADDRESS: STREET 1: 26050 MUREAU ROAD CITY: CALABASAS STATE: CA ZIP: 91302 FORMER COMPANY: FORMER CONFORMED NAME: UNIVERSAL COVERAGE CORP DATE OF NAME CHANGE: 19730823 4 1 form412475002_06212021.xml OWNERSHIP DOCUMENT X0306 4 2021-06-17 0 0000100716 UNICO AMERICAN CORP UNAM 0001762728 Ambina Partners LLC 19 WEST PUTNAM AVE., 2ND FLOOR GREENWICH CT 06830 0 0 1 0 0001800946 Ambina Unico Holdings LLC 19 WEST PUTNAM AVE., 2ND FLOOR GREENWICH CT 06830 0 0 1 0 0001245958 SHARE GREGORY M 19 WEST PUTNAM AVE., 2ND FLOOR GREENWICH CT 06830 0 0 1 0 Common Stock 2021-06-17 4 S 0 32895 4.4275 D 548983 I By Ambina Unico Holdings LLC Common Stock 2021-06-18 4 S 0 5000 4.5000 D 543983 I By Ambina Unico Holdings LLC Common Stock 2021-06-21 4 S 0 5252 4.5183 D 538731 I By Ambina Unico Holdings LLC This Form 4 is filed jointly by Ambina Unico Holdings LLC ("Ambina Unico"), Ambina Partners LLC ("Ambina Partners") and Gregory M. Share (collectively, the "Reporting Persons"). Each of the Reporting Persons may be deemed to be a member of a Section 13(d) group that collectively beneficially owns more than 10% of the Issuer's outstanding shares of Common Stock. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein. Securities owned directly by Ambina Unico. Ambina Partners, as the manager of Ambina Unico, may be deemed to beneficially own the securities owned directly by Ambina Unico. Mr. Share, as the manager of Ambina Partners, may be deemed to beneficially own the securities owned directly by Ambina Unico. Ambina Unico Holdings LLC; By: Ambina Partners LLC; By: /s/ Gregory M. Share, Manager 2021-06-21 Ambina Partners LLC; By: /s/ Gregory M. Share, Manager 2021-06-21 /s/ Gregory M. Share 2021-06-21