0001174947-24-000312.txt : 20240308 0001174947-24-000312.hdr.sgml : 20240308 20240308110952 ACCESSION NUMBER: 0001174947-24-000312 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240301 FILED AS OF DATE: 20240308 DATE AS OF CHANGE: 20240308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Daggett Seth C. CENTRAL INDEX KEY: 0001804950 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37973 FILM NUMBER: 24732902 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] ORGANIZATION NAME: 02 Finance IRS NUMBER: 812683619 FISCAL YEAR END: 1231 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 X0508 4 2024-03-01 0 0001681206 NI Holdings, Inc. NODK 0001804950 Daggett Seth C. 1101 FIRST AVENUE NORTH FARGO ND 58102 0 1 0 0 EVP, Treasurer & CFO 0 Common Stock 2024-03-01 4 F 0 1161 0.00 A 18567 D Common Stock 2024-03-01 4 A 0 11100 0.00 A 29667 D Represents shares withheld to satisfy withholding obligations upon the March 1, 2024 restricted stock unit vesting. Includes shares distributed from the Company's Employee Stock Ownership Plan. These shares are represented by restricted stock units. Includes restricted stock units. /s/ Timothy J. Milius 2024-03-08