0000355379-20-000010.txt : 20201112
0000355379-20-000010.hdr.sgml : 20201112
20201112145158
ACCESSION NUMBER: 0000355379-20-000010
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201110
FILED AS OF DATE: 20201112
DATE AS OF CHANGE: 20201112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Salem Anthony Michael
CENTRAL INDEX KEY: 0001772791
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-10685
FILM NUMBER: 201305997
MAIL ADDRESS:
STREET 1: 1075 OLD POST ROAD
CITY: BEDFORD
STATE: NY
ZIP: 10506
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MIDWEST HOLDING INC.
CENTRAL INDEX KEY: 0000355379
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 200362426
STATE OF INCORPORATION: NE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2900 SOUTH 70TH STREET
STREET 2: SUITE 400
CITY: LINCOLN
STATE: NE
ZIP: 68506
BUSINESS PHONE: 402-489-8266
MAIL ADDRESS:
STREET 1: 2900 SOUTH 70TH STREET
STREET 2: SUITE 400
CITY: LINCOLN
STATE: NE
ZIP: 68506
FORMER COMPANY:
FORMER CONFORMED NAME: MIDWEST HOLDING INC
DATE OF NAME CHANGE: 20000101
FORMER COMPANY:
FORMER CONFORMED NAME: MIDWEST NATIONAL CORP
DATE OF NAME CHANGE: 19860123
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2020-11-10
0
0000355379
MIDWEST HOLDING INC.
mdwt
0001772791
Salem Anthony Michael
1075 OLD POST ROAD
BEDFORD
NY
10506
1
1
0
0
Chief Executive Officer
Voting Common Stock
2020-11-10
4
J
0
600077
0
D
0
I
By Vespoint, LLC Group
Voting Common Stock
2020-11-10
4
J
0
203298
0
A
203298
I
By AMS Advisors, LLC
Vespoint LLC distributed for no consideration 600,077 shares of voting common stock of Midwest Holding Inc. to its members on a pro rata basis. The reporting person retained indirect beneficial ownership of 203,298 shares of such voting common stock after giving effect to the distribution as described herein. The transaction described in this Form 4 represents an exempt change in form of beneficial ownership pursuant to Rule 16a-13.
The reported share numbers in this Form 4 compared to the reporting person's previously filed Form 4 have been adjusted to reflect a 500 for 1 reverse stock split effectuated by Midwest Holding in August 2020.
The shares of voting common stock reported as acquired in column 4 were previously reported as being indirectly held by the reporting person through Vespoint LLC. These shares were distributed for no consideration to AMS Advisors LLC in connection with the distribution noted in footnote 1 above. AMS Advisors is an entity controlled and owned by the reporting person.
A. Michael Salem
2020-11-12