0001174947-20-000287.txt : 20200304
0001174947-20-000287.hdr.sgml : 20200304
20200304101339
ACCESSION NUMBER: 0001174947-20-000287
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200302
FILED AS OF DATE: 20200304
DATE AS OF CHANGE: 20200304
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Milius Timothy J.
CENTRAL INDEX KEY: 0001699657
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37973
FILM NUMBER: 20685981
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
FISCAL YEAR END: 1230
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
ownership.xml
X0306
4
2020-03-02
0
0001681206
NI Holdings, Inc.
NODK
0001699657
Milius Timothy J.
1101 FIRST AVENUE NORTH
FARGO
ND
58102
0
1
0
0
Vice President of Finance
Common Stock
2020-03-02
4
A
0
2600
0.00
A
11850
D
These shares are represented by restricted stock units.
Includes restricted stock units.
/s/ Timothy J. Milius
2020-03-04