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