0001209191-24-002134.txt : 20240124 0001209191-24-002134.hdr.sgml : 20240124 20240124133334 ACCESSION NUMBER: 0001209191-24-002134 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20240112 FILED AS OF DATE: 20240124 DATE AS OF CHANGE: 20240124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith James Grant CENTRAL INDEX KEY: 0002009117 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37536 FILM NUMBER: 24555576 MAIL ADDRESS: STREET 1: 9350 ROBERTS AVE CITY: PERRYSBURG STATE: OH ZIP: 43551 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Conifer Holdings, Inc. CENTRAL INDEX KEY: 0001502292 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] ORGANIZATION NAME: 02 Finance IRS NUMBER: 271298795 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3001 WEST BIG BEAVER ROAD STREET 2: SUITE 200 CITY: TROY STATE: MI ZIP: 48084 BUSINESS PHONE: (248) 559-0840 MAIL ADDRESS: STREET 1: 3001 WEST BIG BEAVER ROAD STREET 2: SUITE 200 CITY: TROY STATE: MI ZIP: 48084 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2024-01-12 0 0001502292 Conifer Holdings, Inc. CNFR 0002009117 Smith James Grant 9350 ROBERTS AVE PERRYSBURG OH 43551 1 0 0 0 Common Stock 0 D Brian J. Roney, by Power of Attorney 2024-01-24 EX-24 2 attachment1.htm EX-24 DOCUMENT
                                                                      Exhibit 24

                               POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes and
appoints each of Brian J. Roney, Rochelle Kaplan-Rudolph, Josh Ermatinger,
Richard J.
Fiato, and Jessica Gulis, signing singly, his or her true and lawful
attorney-in-fact to:

1. execute for and on behalf of the undersigned, with respect to the
undersigned's position as a director and/or officer of Conifer 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;

2. 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 Forms 3, 4 or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the Unites States Securities and Exchange Commission and any stock
exchange, stock market or similar authority; and

3. 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, and 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 January 22, 2024.

/s/ James Grant Smith