0000355379-20-000014.txt : 20201118
0000355379-20-000014.hdr.sgml : 20201118
20201118182149
ACCESSION NUMBER: 0000355379-20-000014
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201116
FILED AS OF DATE: 20201118
DATE AS OF CHANGE: 20201118
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: 201326245
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
2020-11-16
0
0000355379
MIDWEST HOLDING INC.
mdwt
0001772791
Salem Anthony Michael
1075 OLD POST ROAD
BEDFORD
NY
10506
1
1
0
0
Co-Chief Executive Officer
Voting Common Stock
203298
I
By AMS Advisors, LLC
Stock Option (right to buy)
41.25
2020-11-16
4
A
0
81569
0
A
2030-11-16
Voting Common Stock
81569
81569
D
The options vest in equal installments 60 days after each of the first five anniversaries of the date of grant, subject to accelerated vesting under certain circumstances.
The number of shares underlying the option may be reduced if certain performance-based parameters are not met.
A. Michael Salem
2020-11-18