0000921895-20-002572.txt : 20201008
0000921895-20-002572.hdr.sgml : 20201008
20201008171252
ACCESSION NUMBER: 0000921895-20-002572
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201005
FILED AS OF DATE: 20201008
DATE AS OF CHANGE: 20201008
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ambina Partners LLC
CENTRAL INDEX KEY: 0001762728
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-03978
FILM NUMBER: 201231503
BUSINESS ADDRESS:
STREET 1: 309 GREENWICH AVENUE, SUITE 201
CITY: GREENWICH
STATE: CT
ZIP: 06830
BUSINESS PHONE: (203) 302-1941
MAIL ADDRESS:
STREET 1: 309 GREENWICH AVENUE, SUITE 201
CITY: GREENWICH
STATE: CT
ZIP: 06830
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ambina Unico Holdings LLC
CENTRAL INDEX KEY: 0001800946
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-03978
FILM NUMBER: 201231504
BUSINESS ADDRESS:
STREET 1: 309 GREENWICH AVENUE, SUITE 201
CITY: GREENWICH
STATE: CT
ZIP: 06830
BUSINESS PHONE: (917) 520-3223
MAIL ADDRESS:
STREET 1: 309 GREENWICH AVENUE, SUITE 201
CITY: GREENWICH
STATE: CT
ZIP: 06830
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHARE GREGORY M
CENTRAL INDEX KEY: 0001245958
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-03978
FILM NUMBER: 201231505
MAIL ADDRESS:
STREET 1: THREE FIRST NATIONAL PLZ
STREET 2: SUITE 3800
CITY: CHICAGO
STATE: IL
ZIP: 60602
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: UNICO AMERICAN CORP
CENTRAL INDEX KEY: 0000100716
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 952583928
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1220
BUSINESS ADDRESS:
STREET 1: 26050 MUREAU ROAD
CITY: CALABASAS
STATE: CA
ZIP: 91302
BUSINESS PHONE: 8185919800
MAIL ADDRESS:
STREET 1: 26050 MUREAU ROAD
CITY: CALABASAS
STATE: CA
ZIP: 91302
FORMER COMPANY:
FORMER CONFORMED NAME: UNIVERSAL COVERAGE CORP
DATE OF NAME CHANGE: 19730823
3
1
form312475002_10082020.xml
OWNERSHIP DOCUMENT
X0206
3
2020-10-05
0
0000100716
UNICO AMERICAN CORP
UNAM
0001762728
Ambina Partners LLC
309 GREENWICH AVE., SUITE 201
GREENWICH
CT
06830
0
0
1
0
0001800946
Ambina Unico Holdings LLC
309 GREENWICH AVE., SUITE 201
GREENWICH
CT
06830
0
0
1
0
0001245958
SHARE GREGORY M
309 GREENWICH AVE., SUITE 201
GREENWICH
CT
06830
0
0
1
0
Common Stock
644133
I
By: Ambina Unico Holdings LLC
This Form 3 is filed jointly by Ambina Unico Holdings LLC ("Ambina Unico"), Ambina Partners LLC ("Ambina Partners") and Gregory M. Share (collectively, the "Reporting Persons"). Each of the Reporting Persons may be deemed to be a member of a Section 13(d) group that collectively beneficially owns more than 10% of the Issuer's outstanding shares of Common Stock. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein.
Securities owned directly by Ambina Unico. Ambina Partners, as the manager of Ambina Unico, may be deemed to beneficially own the securities owned directly by Ambina Unico. Mr. Share, as the manager of Ambina Partners, may be deemed to beneficially own the securities owned directly by Ambina Unico.
Ambina Unico Holdings LLC; By: Ambina Partners LLC; By: /s/ Gregory M. Share, Manager
2020-10-08
Ambina Partners LLC; By: /s/ Gregory M. Share, Manager
2020-10-08
/s/ Gregory M. Share
2020-10-08