0000899243-19-009235.txt : 20190329 0000899243-19-009235.hdr.sgml : 20190329 20190329132411 ACCESSION NUMBER: 0000899243-19-009235 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190327 FILED AS OF DATE: 20190329 DATE AS OF CHANGE: 20190329 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Insurance Capital Group, LLC CENTRAL INDEX KEY: 0001768102 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38814 FILM NUMBER: 19715351 BUSINESS ADDRESS: STREET 1: 767 FIFTH AVENUE, 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10153 BUSINESS PHONE: 2123909403 MAIL ADDRESS: STREET 1: 767 FIFTH AVENUE, 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10153 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: POSITIVE PHYSICIANS HOLDINGS,INC. CENTRAL INDEX KEY: 0001752039 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 830824448 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 BERWYN PARK STREET 2: 850 CASSATT ROAD, SUITE 220 CITY: BERWYN STATE: PA ZIP: 19312 BUSINESS PHONE: 8883355335 MAIL ADDRESS: STREET 1: 100 BERWYN PARK STREET 2: 850 CASSATT ROAD, SUITE 220 CITY: BERWYN STATE: PA ZIP: 19312 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-03-27 0 0001752039 POSITIVE PHYSICIANS HOLDINGS,INC. PPHI 0001768102 Insurance Capital Group, LLC 100 BERWYN PARK, SUITE 220 850 CASSATT ROAD BERWYN PA 19312 0 0 1 0 Common Stock 1523320 D INSURANCE CAPITAL GROUP, LLC, By: /s/Matthew T. Popoli, Managing Director 2019-03-28