0000899243-21-044420.txt : 20211112 0000899243-21-044420.hdr.sgml : 20211112 20211112171616 ACCESSION NUMBER: 0000899243-21-044420 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211109 FILED AS OF DATE: 20211112 DATE AS OF CHANGE: 20211112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mayotte Terry P. CENTRAL INDEX KEY: 0001817783 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39392 FILM NUMBER: 211404862 MAIL ADDRESS: STREET 1: C/O TREAN INSURANCE GROUP, INC. STREET 2: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Trean Insurance Group, Inc. CENTRAL INDEX KEY: 0001801754 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 844512647 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 BUSINESS PHONE: (952) 974-2222 MAIL ADDRESS: STREET 1: 150 LAKE STREET WEST CITY: WAYZATA STATE: MN ZIP: 55391 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-09 0 0001801754 Trean Insurance Group, Inc. TIG 0001817783 Mayotte Terry P. C/O TREAN INSURANCE GROUP, INC. 150 LAKE STREET WEST WAYZATA MN 55391 1 0 0 0 Common Stock 2021-11-09 4 A 0 2485 0.00 A 4152 D /s/ Patricia A. Ryan, attorney-in-fact 2021-11-12