0001437749-21-000785.txt : 20210115 0001437749-21-000785.hdr.sgml : 20210115 20210115175759 ACCESSION NUMBER: 0001437749-21-000785 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210115 FILED AS OF DATE: 20210115 DATE AS OF CHANGE: 20210115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brier Jack H. CENTRAL INDEX KEY: 0001679388 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55627 FILM NUMBER: 21533244 MAIL ADDRESS: STREET 1: 4123 SW GAGE CENTER DRIVE STREET 2: SUITE 240 CITY: TOPEKA STATE: KS ZIP: 66604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: US Alliance Corp CENTRAL INDEX KEY: 0001463913 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 264824142 STATE OF INCORPORATION: KS FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4123 SW GAGE CENTER DRIVE STREET 2: SUITE 240 CITY: TOPEKA STATE: KS ZIP: 66604 BUSINESS PHONE: 816-460-5807 MAIL ADDRESS: STREET 1: 4123 SW GAGE CENTER DRIVE STREET 2: SUITE 240 CITY: TOPEKA STATE: KS ZIP: 66604 FORMER COMPANY: FORMER CONFORMED NAME: U. S. Alliance Corp DATE OF NAME CHANGE: 20090512 4 1 rdgdoc.xml FORM 4 X0306 4 2021-01-15 0001463913 US Alliance Corp USAC 0001679388 Brier Jack H. 1303 SW FIRST AMERICAN PL SUITE 200 TOPEKA KS 66604 1 1 Chairman, President, and CEO Restricted Common Stock 2021-01-15 4 P 0 32000 1.10 A 446800 D /s/ Jack H. Brier 2021-01-15