0001544890-13-000024.txt : 20131204 0001544890-13-000024.hdr.sgml : 20131204 20131204173459 ACCESSION NUMBER: 0001544890-13-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130129 FILED AS OF DATE: 20131204 DATE AS OF CHANGE: 20131204 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shugrue Joseph Raymond CENTRAL INDEX KEY: 0001544280 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35816 FILM NUMBER: 131258164 MAIL ADDRESS: STREET 1: 432 BROOKSIDE DRIVE CITY: WILMETTE STATE: IL ZIP: 60091 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2013-01-29 0 0001539894 Atlas Financial Holdings, Inc. AFH 0001544280 Shugrue Joseph Raymond 432 BROOKSIDE DRIVE WILMETTE IL 60091 0 0 0 1 Subsidiary Director/Officer Common Shares 2013-01-29 4 J 0 84416 0 D 42209 D Warrants 144a Sub-Receipt 2 2013-12-02 4 S 0 126625 2.38 D 2010-11-01 2013-12-31 Common Shares 0.333 0 D Options 2 2013-01-29 4 J 0 16666 6 D 2021-01-18 Common Shares 16666 8334 D Options 2.12 2013-01-29 4 J 0 30000 6.36 D 2014-01-11 2023-01-11 Common Shares 30000 15000 D Canadian This calculation incorporates the 1/29/2013 3 for 1 share consolidation. To report the 1/29/2013 3 for 1 share consolidation. 1/4 of these grants are exercisable 1/18/2011, 1/18/2012, 1/18/2013, and 1/18/2014 respectively. Joseph Shugrue 2013-12-04