0001174947-19-000716.txt : 20190523 0001174947-19-000716.hdr.sgml : 20190523 20190523093533 ACCESSION NUMBER: 0001174947-19-000716 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: Espegard Duaine CENTRAL INDEX KEY: 0001699502 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37973 FILM NUMBER: 19848173 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 c522292_4.xml OWNERSHIP DOCUMENT X0306 4 2019-05-21 0 0001681206 NI Holdings, Inc. NODK 0001699502 Espegard Duaine 1101 FIRST AVENUE NORTH FARGO ND 58102 1 0 0 0 Common Stock 2019-05-21 4 A 0 3100 0.00 A 16000 D These shares are represented by restricted stock units, and will be deferred issuance until after separation from service. Includes restricted stock units. These shares include 4,600 restricted stock units that will be deferred issuance until after separation from service. /s/ Timothy J. Milius 2019-05-23