0000914760-16-000500.txt : 20161209 0000914760-16-000500.hdr.sgml : 20161209 20161209170609 ACCESSION NUMBER: 0000914760-16-000500 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161207 FILED AS OF DATE: 20161209 DATE AS OF CHANGE: 20161209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 1347 Property Insurance Holdings, Inc. CENTRAL INDEX KEY: 0001591890 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 461168622 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1511 N. WESTSHORE BLVD., SUITE 870 CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: 877-864-4934 MAIL ADDRESS: STREET 1: 1511 N. WESTSHORE BLVD STREET 2: SUITE 870 CITY: TAMPA STATE: FL ZIP: 33607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KINGSWAY FINANCIAL SERVICES INC CENTRAL INDEX KEY: 0001072627 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36366 FILM NUMBER: 162044698 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 4 1 kingsway_form4.xml OWNERSHIP DOCUMENT X0306 4 2016-12-07 0 0001591890 1347 Property Insurance Holdings, Inc. PIH 0001072627 KINGSWAY FINANCIAL SERVICES INC 150 PIERCE RD ITASCA IL 60143 0 0 1 0 Common Stock 2016-12-07 4 S 0 100000 7.57 D 900000 I By wholly owned subsidiary Common Stock 75000 I By wholly owned subsidiary Held by the reporting person's wholly-owned subsidiary Kingsway America Inc. Held by the reporting person's wholly-owned subsidiary Mendakota Casualty Company. /s/ Beverly J. Schafman, Attorney-in-Fact 2016-12-09