0001387131-17-004452.txt : 20170825 0001387131-17-004452.hdr.sgml : 20170825 20170825165721 ACCESSION NUMBER: 0001387131-17-004452 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170824 FILED AS OF DATE: 20170825 DATE AS OF CHANGE: 20170825 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hill John S CENTRAL INDEX KEY: 0001602027 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36366 FILM NUMBER: 171052542 MAIL ADDRESS: STREET 1: 1347 PROPERTY INSURANCE HOLDINGS, INC. STREET 2: 9100 BLUEBONNET CENTRE BLVD., SUITE 502 CITY: BATON ROUGE STATE: LA ZIP: 70809 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: 1347 Property Insurance Holdings, Inc. CENTRAL INDEX KEY: 0001591890 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 461168622 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1511 N. WESTSHORE BLVD., SUITE 870 CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: 877-864-4934 MAIL ADDRESS: STREET 1: 1511 N. WESTSHORE BLVD STREET 2: SUITE 870 CITY: TAMPA STATE: FL ZIP: 33607 4 1 hill-form4_082417.xml OWNERSHIP DOCUMENT X0306 4 2017-08-24 0 0001591890 1347 Property Insurance Holdings, Inc. PIH 0001602027 Hill John S 1511 N. WESTSHORE BLVD., SUITE 870 TAMPA FL 33607 0 1 0 0 VP, Secretary & CFO Common Stock, $0.001 par value 2017-08-24 4 P 0 129 7.9 A 6204 D Common Stock, $0.001 par value 5000 I By IRA /s/ John S. Hill 2017-08-25