0001174947-19-000714.txt : 20190523 0001174947-19-000714.hdr.sgml : 20190523 20190523093058 ACCESSION NUMBER: 0001174947-19-000714 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190521 FILED AS OF DATE: 20190523 DATE AS OF CHANGE: 20190523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Aasmundstad Eric K. CENTRAL INDEX KEY: 0001700267 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37973 FILM NUMBER: 19848159 MAIL ADDRESS: STREET 1: 1101 FIRST AVENUE NORTH CITY: FARGO STATE: ND ZIP: 58102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NI Holdings, Inc. CENTRAL INDEX KEY: 0001681206 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 812683619 BUSINESS ADDRESS: STREET 1: 1101 FIRST AVENUE NORTH CITY: FARGO STATE: ND ZIP: 58102 BUSINESS PHONE: 701-298-4200 MAIL ADDRESS: STREET 1: 1101 FIRST AVENUE NORTH CITY: FARGO STATE: ND ZIP: 58102 4 1 c522291_4.xml OWNERSHIP DOCUMENT X0306 4 2019-05-21 0 0001681206 NI Holdings, Inc. NODK 0001700267 Aasmundstad Eric K. 1101 FIRST AVENUE NORTH FARGO ND 58102 1 0 0 0 Common Stock 2019-05-21 4 A 0 3100 0.00 A 15414 D These shares are represented by restricted stock units. Includes restricted stock units. These shares include 1,500 restricted stock units that will be deferred issuance until after separation from service. /s/ Timothy J. Milius 2019-05-23