0000905729-19-000212.txt : 20191108
0000905729-19-000212.hdr.sgml : 20191108
20191108144144
ACCESSION NUMBER: 0000905729-19-000212
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191106
FILED AS OF DATE: 20191108
DATE AS OF CHANGE: 20191108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clarkston Ventures, LLC
CENTRAL INDEX KEY: 0001718951
STATE OF INCORPORATION: MI
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37536
FILM NUMBER: 191203644
BUSINESS ADDRESS:
STREET 1: 81 WEST LONG LAKE ROAD
CITY: BLOOMFIELD HILLS
STATE: MI
ZIP: 48304
BUSINESS PHONE: (248) 723-8000
MAIL ADDRESS:
STREET 1: 91 WEST LONG LAKE ROAD
CITY: BLOOMFIELD HILLS
STATE: MI
ZIP: 48304
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Conifer Holdings, Inc.
CENTRAL INDEX KEY: 0001502292
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 271298795
STATE OF INCORPORATION: MI
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 550 WEST MERRILL STREET
STREET 2: SUITE 200
CITY: BIRMINGHAM
STATE: MI
ZIP: 48009
BUSINESS PHONE: (248) 559-0840
MAIL ADDRESS:
STREET 1: 550 WEST MERRILL STREET
STREET 2: SUITE 200
CITY: BIRMINGHAM
STATE: MI
ZIP: 48009
4
1
ownership.xml
X0306
4
2019-11-06
0
0001502292
Conifer Holdings, Inc.
CNFR
0001718951
Clarkston Ventures, LLC
91 WEST LONG LAKE ROAD
BLOOMFIELD HILLS
MI
48304
0
0
1
0
Common Stock
2019-11-06
4
P
0
321782
4.50
A
2107425
D
/s/ Jeffrey A. Hakala
2019-11-08