0001174947-18-001477.txt : 20181212 0001174947-18-001477.hdr.sgml : 20181212 20181212155025 ACCESSION NUMBER: 0001174947-18-001477 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181211 FILED AS OF DATE: 20181212 DATE AS OF CHANGE: 20181212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Popoli Matthew T. CENTRAL INDEX KEY: 0001760617 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38718 FILM NUMBER: 181230911 MAIL ADDRESS: STREET 1: 3750 WEST DEERFIELD ROAD CITY: RIVERWOODS STATE: IL ZIP: 60015 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Federal Life Group, Inc. CENTRAL INDEX KEY: 0001743886 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 824944172 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3750 DEERFIELD ROAD CITY: RIVERWOODS STATE: IL ZIP: 60015 BUSINESS PHONE: (847) 520-1900 MAIL ADDRESS: STREET 1: 3750 DEERFIELD ROAD CITY: RIVERWOODS STATE: IL ZIP: 60015 3 1 c509022_form3.xml FORM 3 X0206 3 2018-12-11 0 0001743886 Federal Life Group, Inc. FLF 0001760617 Popoli Matthew T. 3750 WEST DEERFIELD ROAD RIVERWOODS IL 60015 1 0 1 0 Common Stock 1505000 I Shares are owned by Insurance Capital Group, LLC Mr. Popoli is a Managing Director of Insurance Capital Group, LLC. /s/ Matthew T. Popoli 2018-12-11