0001209191-21-035328.txt : 20210524
0001209191-21-035328.hdr.sgml : 20210524
20210524162931
ACCESSION NUMBER: 0001209191-21-035328
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210524
FILED AS OF DATE: 20210524
DATE AS OF CHANGE: 20210524
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Altaris Health Partners III, L.P.
CENTRAL INDEX KEY: 0001576010
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955351
BUSINESS ADDRESS:
STREET 1: 600 LEXINGTON AVENUE, 11TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-931-0250
MAIL ADDRESS:
STREET 1: 600 LEXINGTON AVENUE, 11TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Altaris Constellation Partners, L.P.
CENTRAL INDEX KEY: 0001678582
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955354
BUSINESS ADDRESS:
STREET 1: 600 LEXINGTON AVENUE
STREET 2: 11TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: (212) 931-0250
MAIL ADDRESS:
STREET 1: 600 LEXINGTON AVENUE
STREET 2: 11TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Altaris Partners, LLC
CENTRAL INDEX KEY: 0001777236
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955360
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-931-0250
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Aitken-Davies George
CENTRAL INDEX KEY: 0001777239
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955352
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ACP-BHC LLC
CENTRAL INDEX KEY: 0001818198
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955356
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-931-0250
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AHP III GP, L.P.
CENTRAL INDEX KEY: 0001818340
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955355
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-931-0250
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AHP Constellation GP, L.P.
CENTRAL INDEX KEY: 0001818209
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955353
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-931-0250
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AHP-TH LLC
CENTRAL INDEX KEY: 0001818311
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955359
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-931-0250
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ACP-TH LLC
CENTRAL INDEX KEY: 0001818325
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955357
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-931-0250
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AHP-BHC LLC
CENTRAL INDEX KEY: 0001818327
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39392
FILM NUMBER: 21955358
BUSINESS ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-931-0250
MAIL ADDRESS:
STREET 1: 10 EAST 53RD STREET
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Trean Insurance Group, Inc.
CENTRAL INDEX KEY: 0001801754
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 844512647
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 150 LAKE STREET WEST
CITY: WAYZATA
STATE: MN
ZIP: 55391
BUSINESS PHONE: (952) 974-2222
MAIL ADDRESS:
STREET 1: 150 LAKE STREET WEST
CITY: WAYZATA
STATE: MN
ZIP: 55391
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-05-24
0
0001801754
Trean Insurance Group, Inc.
TIG
0001777236
Altaris Partners, LLC
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
0001818311
AHP-TH LLC
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
0001818327
AHP-BHC LLC
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
0001818325
ACP-TH LLC
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
0001818198
ACP-BHC LLC
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
0001818340
AHP III GP, L.P.
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
0001678582
Altaris Constellation Partners, L.P.
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
0001818209
AHP Constellation GP, L.P.
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
0001777239
Aitken-Davies George
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
0001576010
Altaris Health Partners III, L.P.
10 EAST 53RD STREET, 31ST FLOOR
NEW YORK
NY
10022
1
0
1
0
Common Stock, par value $0.01 per share
2021-05-24
4
S
0
47
13.30
D
270
I
See footnotes
Common Stock, par value $0.01 per share
2021-05-24
4
S
0
3458076
13.30
D
19545133
I
See footnotes
Common Stock, par value $0.01 per share
2021-05-24
4
S
0
12
13.30
D
61
I
See footnotes
Common Stock, par value $0.01 per share
2021-05-24
4
S
0
792363
13.30
D
4478455
I
See footnotes
Reflects sales of shares in the secondary offering of common stock of Trean Insurance Group, Inc. that closed on May 24, 2021.
The securities are held of record by AHP-TH LLC.
Altaris Health Partners III, L.P. is the sole owner of each of AHP-TH LLC and AHP-BHC LLC, and may be deemed to beneficially own the shares of common stock of the Issuer owned by each of AHP-TH LLC and AHP-BHC LLC. AHP III GP, L.P. is the general partner of Altaris Health Partners III, L.P., and may be deemed to beneficially own the shares of common stock of the Issuer beneficially owned by Altaris Health Partners III, L.P. Altaris Partners, LLC is the general partner of AHP III GP, L.P., and may be deemed to beneficially own the shares of common stock of the Issuer beneficially owned by AHP III GP, L.P.
George Aitken-Davies and Daniel Tully are the Managers of Altaris Partners, LLC. Each of Mr. Aitken-Davies and Mr. Tully is in a position directly and indirectly to determine the investment and voting decisions made by Altaris Partners, LLC and the affiliated entities listed above. Mr. Aitken-Davies and Mr. Tully may each be deemed to have voting and investment power with respect to all shares of common stock of the Issuer held beneficially by Altaris Partners, LLC through the reporting persons described in these footnotes.
Each reporting person disclaims beneficial ownership of all shares of common stock of the Issuer except to the extent of his or its pecuniary interest therein.
The securities are held of record by AHP-BHC LLC.
The securities are held of record by ACP-TH LLC.
Altaris Constellation Partners, L.P. is the sole owner of each of ACP-TH LLC and ACP-BHC LLC, and may be deemed to beneficially own the shares of common stock of the Issuer owned by each of ACP-TH LLC and ACP-BHC LLC. AHP Constellation GP, L.P. is the general partner of Altaris Constellation Partners, L.P., and may be deemed to beneficially own the shares of common stock of the Issuer beneficially owned by Altaris Constellation Partners, L.P. Altaris Partners, LLC is the general partner of AHP Constellation GP, L.P., and may be deemed to beneficially own the shares of common stock of the Issuer beneficially owned by AHP Constellation GP, L.P.
The securities are held of record by ACP-BHC LLC.
This Form 4 is filed by more than one reporting person and is a joint filing with the Form 4 filed by Daniel Tully on May 24, 2021 and relates to the same holdings. Each of the reporting persons on this Form 4 may be deemed a director by deputization as a result of Mr. Daniel Tully serving on the board of directors of the Issuer, and as a result of the reporting persons on this Form 4 having the right to nominate directors to the board of the Issuer pursuant to a Director Nomination Agreement. This filing shall not be deemed an admission by any reporting person on this Form 4 that such person is a director by deputization.
ALTARIS PARTNERS, LLC, By: /s/ Jason Zgliniec, power of attorney
2021-05-24
AHP-TH LLC, By: /s/ Jason Zgliniec, power of attorney
2021-05-24
AHP-BHC LLC, By: /s/ Jason Zgliniec, power of attorney
2021-05-24
ACP-TH LLC, By: /s/ Jason Zgliniec, power of attorney
2021-05-24
ACP-BHC LLC, By: /s/ Jason Zgliniec, power of attorney
2021-05-24
AHP III GP, L.P., By: Altaris Partners, LLC, its general partner, By: /s/ Jason Zgliniec, power of attorney
2021-05-24
ALTARIS CONSTELLATION PARTNERS L.P., By: AHP Constellation GP, L.P., its general partner, By: /s/ Jason Zgliniec, power of attorney
2021-05-24
AHP CONSTELLATION GP, L.P., By: Altaris Partners, LLC, its general partner, By: /s/ Jason Zgliniec, power of attorney
2021-05-24
/s/ Jason Zgliniec, power of attorney for George Aitken-Davies
2021-05-24
ALTARIS HEALTH PARTNERS III, L.P., By: AHP III GP L.P., its general partner, By: /s/ Jason Zgliniec, power of attorney
2021-05-24