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