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