0001174947-21-000589.txt : 20210527 0001174947-21-000589.hdr.sgml : 20210527 20210527092116 ACCESSION NUMBER: 0001174947-21-000589 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210526 FILED AS OF DATE: 20210527 DATE AS OF CHANGE: 20210527 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Aasmundstad Eric K. CENTRAL INDEX KEY: 0001700267 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37973 FILM NUMBER: 21968802 MAIL ADDRESS: STREET 1: 1101 FIRST AVENUE NORTH CITY: FARGO STATE: ND ZIP: 58102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NI Holdings, Inc. CENTRAL INDEX KEY: 0001681206 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 812683619 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1101 FIRST AVENUE NORTH CITY: FARGO STATE: ND ZIP: 58102 BUSINESS PHONE: 701-298-4200 MAIL ADDRESS: STREET 1: 1101 FIRST AVENUE NORTH CITY: FARGO STATE: ND ZIP: 58102 4 1 ownership.xml X0306 4 2021-05-26 0 0001681206 NI Holdings, Inc. NODK 0001700267 Aasmundstad Eric K. 1101 FIRST AVENUE NORTH FARGO ND 58102 1 0 0 0 Common Stock 2021-05-26 4 A 0 2600 0.00 A 21914 D These shares are represented by restricted stock units. Includes restricted stock units. These shares include 1,500 restricted stock units that will be deferred issuance until after separation from service. Exhibit List: 24.1 Power of Attorney /s/ Timothy J. Milius 2021-05-27 EX-24.1 2 ex24-1.htm EX-24.1

 

Exhibit 24.1

SECTION 16

 

POWER OF ATTORNEY

Know all by these presents that the undersigned hereby constitutes and appoints each of Seth C. Daggett and Timothy J. Milius, signing singly, the undersigned’s true and lawful attorney-in-fact to:

 

1)prepare, execute in the undersigned’s name and on the undersigned’s behalf, and submit to the U.S. Securities and Exchange Commission (the “SEC”) a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC;

 

2)execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or director of NI Holdings, Inc. (the “Company”), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder, and any other forms or reports the undersigned may be required to file in connection with the undersigned’s ownership, acquisition, or disposition of securities of the Company;

 

3)do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, or other form or report, and timely file such form or report with the SEC and any stock exchange or similar authority; and

 

4)take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 25th day of May, 2021.

 

/s/ Eric K. Aasmundstad