0001072627-16-000284.txt : 20161130 0001072627-16-000284.hdr.sgml : 20161130 20161130143131 ACCESSION NUMBER: 0001072627-16-000284 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161130 FILED AS OF DATE: 20161130 DATE AS OF CHANGE: 20161130 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KINGSWAY FINANCIAL SERVICES INC CENTRAL INDEX KEY: 0001072627 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 999999999 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 45 ST. CLAIR WEST STREET 2: SUITE 400 CITY: TORONTO STATE: A6 ZIP: M4V 1K9 BUSINESS PHONE: 9056778889 MAIL ADDRESS: STREET 1: 150 PIERCE RD CITY: ITASCA STATE: IL ZIP: 60143 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAQAR HASSAN CENTRAL INDEX KEY: 0001529638 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15204 FILM NUMBER: 162024987 MAIL ADDRESS: STREET 1: C/O UNITED INSURANCE HOLDINGS CORP. STREET 2: 360 CENTRAL AVENUE, SUITE 900 CITY: ST. PETERSBURG STATE: FL ZIP: 33701 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-11-30 0 0001072627 KINGSWAY FINANCIAL SERVICES INC KFS 0001529638 BAQAR HASSAN KINGSWAY FINANCIAL SERVICES INC. 150 PIERCE ROAD, SUITE 600 ITASCA IL 60143 0 1 0 0 Vice President Common Stock 2016-11-30 4 P 0 120 5.9513 A 149332 D Includes 115,500 restricted common shares under the 2013 Incentive Plan, approved by shareholders in May 2013. /s/Hassan R. Baqar 2016-11-30