0001544890-12-000008.txt : 20120326 0001544890-12-000008.hdr.sgml : 20120326 20120326142315 ACCESSION NUMBER: 0001544890-12-000008 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120326 FILED AS OF DATE: 20120326 DATE AS OF CHANGE: 20120326 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kupinsky Jordan CENTRAL INDEX KEY: 0001544321 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54627 FILM NUMBER: 12714218 MAIL ADDRESS: STREET 1: 395 BROOKE AVENUE CITY: TORONTO STATE: A6 ZIP: M5M2L5 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Atlas Financial Holdings, Inc. CENTRAL INDEX KEY: 0001539894 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 275466079 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 NORTHWEST POINT BOULEVARD CITY: ELK GROVE VILLAGE STATE: IL ZIP: 60007 BUSINESS PHONE: 847-700-8000 MAIL ADDRESS: STREET 1: 150 NORTHWEST POINT BOULEVARD CITY: ELK GROVE VILLAGE STATE: IL ZIP: 60007 3 1 primary_doc.xml PRIMARY DOCUMENT X0205 3 2012-03-26 0 0001539894 Atlas Financial Holdings, Inc. AFH 0001544321 Kupinsky Jordan 395 BROOKE AVENUE TORONTO A6 M5M2L5 ONTARIO, CANADA 1 0 0 0 Common Shares 1210000 D Options 2 2011-01-18 2021-01-18 Common Shares 20396 D Options 2 2012-01-18 2021-01-18 Common Shares 20396 D Options 2 2013-01-18 2021-01-18 Common Shares 20396 D Options 2 2014-01-18 2021-01-18 Common Shares 20395 D Options 1 2010-03-18 2020-03-18 Common Shares 32100 D Canadian Dollars Jordan Kupinsky 2012-03-26