1. Name and Address of Reporting Person*
450 PARK AVENUE, 30TH FLOOR |
|
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
450 PARK AVENUE, 30TH FLOOR |
|
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
450 PARK AVENUE, 30TH FLOOR |
|
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
11001 LAKELINE BLVD, SUITE 120 |
|
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
|
|
|
Member of 10% Owner Group |
|
1. Name and Address of Reporting Person*
11001 LAKELINE BLVD SUITE 120 |
|
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
|
Continental Insurance Group Ltd. by /s/ James P. Corcoran, President & CEO |
12/27/2018 |
|
HC2 Holdings 2, Inc. By /s/ Joseph A. Ferraro, Secretary |
12/27/2018 |
|
HC2 Holdings, Inc. By /s/ Joseph A. Ferraro, Chief Legal Officer |
12/27/2018 |
|
Continental General Insurance Company By /s/ James P. Corcoran, Executive Chair |
12/27/2018 |
|
Continental LTC Inc. By /s/ James P. Corcoran, President and CEO |
12/27/2018 |
|
** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |