0001072625-17-000007.txt : 20170908 0001072625-17-000007.hdr.sgml : 20170908 20170908151957 ACCESSION NUMBER: 0001072625-17-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170906 FILED AS OF DATE: 20170908 DATE AS OF CHANGE: 20170908 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KINGSWAY AMERICA INC CENTRAL INDEX KEY: 0001072625 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35816 FILM NUMBER: 171076405 BUSINESS ADDRESS: STREET 1: 150 PIERCE ROAD STREET 2: SUITE 600 CITY: ITASCA STATE: IL ZIP: 60143 BUSINESS PHONE: 847 700-8222 MAIL ADDRESS: STREET 1: 150 PIERCE ROAD STREET 2: SUITE 600 CITY: ITASCA STATE: IL ZIP: 60143 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Atlas Financial Holdings, Inc. CENTRAL INDEX KEY: 0001539894 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 275466079 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 NORTHWEST POINT BOULEVARD CITY: ELK GROVE VILLAGE STATE: IL ZIP: 60007 BUSINESS PHONE: 847-472-6700 MAIL ADDRESS: STREET 1: 150 NORTHWEST POINT BOULEVARD CITY: ELK GROVE VILLAGE STATE: IL ZIP: 60007 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-09-06 0 0001539894 Atlas Financial Holdings, Inc. AFH 0001072625 KINGSWAY AMERICA INC 150 PIERCE ROAD SUITE 600 ITASCA IL 60143 0 0 0 1 Affiliate Restricted Voting Common Shares 2017-09-06 4 S 0 10000 16.7583 D 15420 I By Mendota Insurance Company The total disposed shares were held indirectly by Kingsway America Inc. through its 100% owned subsidiary Mendota Insurance Company. /s/ Hassan R. Baqar 2017-09-08