0001072627-16-000293.txt : 20161219 0001072627-16-000293.hdr.sgml : 20161219 20161219103846 ACCESSION NUMBER: 0001072627-16-000293 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161216 FILED AS OF DATE: 20161219 DATE AS OF CHANGE: 20161219 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KINGSWAY FINANCIAL SERVICES INC CENTRAL INDEX KEY: 0001072627 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 999999999 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fitzgerald John Taylor Maloney CENTRAL INDEX KEY: 0001584349 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15204 FILM NUMBER: 162058067 MAIL ADDRESS: STREET 1: 888 E. DEEPATH ROAD CITY: LAKE FOREST STATE: IL ZIP: 60045 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-12-16 0 0001072627 KINGSWAY FINANCIAL SERVICES INC KFS 0001584349 Fitzgerald John Taylor Maloney KINGSWAY FINANCIAL SERVICES INC. 150 PIERCE ROAD, SUITE 600 ITASCA IL 60143 1 1 0 0 Executive Vice President Common Stock 2016-12-16 4 P 0 104 6 A 855788 D Includes 500,000 restricted stock units pursuant to the Restricted Stock Unit Agreement, dated August 24, 2016. /s/John Taylor Maloney Fitzgerald 2016-12-19