0000899243-19-009222.txt : 20190329
0000899243-19-009222.hdr.sgml : 20190329
20190329122428
ACCESSION NUMBER: 0000899243-19-009222
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: Popoli Matthew T.
CENTRAL INDEX KEY: 0001760617
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38814
FILM NUMBER: 19715128
MAIL ADDRESS:
STREET 1: 3750 WEST DEERFIELD ROAD
CITY: RIVERWOODS
STATE: IL
ZIP: 60015
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
0001760617
Popoli Matthew T.
100 BERWYN PARK, SUITE 220
850 CASSATT ROAD
BERWYN
PA
19312
1
0
1
0
Common Stock
1523320
I
Shares are owned by Insurance Capital Group, LLC*
*Mr. Popoli is a Managing Director of Insurance Capital Group, LLC.
/s/Matthew T. Popoli
2019-03-28