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[Form 3] Conifer Holdings, Inc Initial Statement of Beneficial Ownership

Filing Impact
(Low)
Filing Sentiment
(Neutral)
Form Type
3
Rhea-AI Filing Summary

Conifer Holdings, Inc. (CNFR) Form 3 discloses initial beneficial ownership by Clarkston 91 West LLC, identifying the reporting person as a director. The filing shows direct ownership of 1,000 shares of Series B Preferred Stock and a direct warrant exercisable on 06/03/2025 expiring 01/31/2027 to purchase 4,000,000 shares of Common Stock at an exercise price of $1.50 per share. The event requiring the statement is dated 02/27/2025 and the form is signed by Jeffrey Hakala on 08/22/2025. The filing is an initial ownership disclosure required under Section 16.

Positive
  • None.
Negative
  • None.

Insights

TL;DR: Initial director-level disclosure shows preferred holdings and a sizeable common-stock warrant, a neutral routine Section 16 filing.

The Form 3 reports direct beneficial ownership by Clarkston 91 West LLC of 1,000 Series B preferred shares and a warrant for 4,000,000 common shares exercisable at $1.50 between 06/03/2025 and 01/31/2027. As an initial disclosure by a director, this establishes transparency about potential future dilution if the warrant is exercised but does not itself change the company's financials. Impact on investors depends on whether and when the warrant is exercised and the company’s outstanding share count at that time.

TL;DR: This is a standard Section 16 initial statement by a director; it documents ownership but contains no governance changes.

The filing identifies the reporting person as a director and provides required details of direct holdings and derivative rights. It confirms compliance with reporting obligations and records a large warrant position that could create governance or voting implications if converted. The form does not indicate any amendments, joint filers, or related-party descriptors beyond the reporting entity.

SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Clarkston 91 West LLC

(Last) (First) (Middle)
91 WEST LONG LAKE ROAD

(Street)
BLOOMFIELD HILLS MI 48304

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/27/2025
3. Issuer Name and Ticker or Trading Symbol
Conifer Holdings, Inc. [ CNFR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Series B Preferred Stock 1,000 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant to Purchase Common Stock 06/03/2025 01/31/2027 Common Stock 4,000,000 $1.5 D
Explanation of Responses:
/s/ Jeffrey Hakala, Member 08/22/2025
** 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 5 (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.

FAQ

What did Conifer Holdings (CNFR) Form 3 disclose about ownership?

The Form 3 shows Clarkston 91 West LLC (a director) directly owns 1,000 Series B Preferred shares and a direct warrant for 4,000,000 common shares at $1.50 per share.

When is the warrant exercisable and when does it expire?

The warrant is exercisable on 06/03/2025 and expires on 01/31/2027.

Who signed the Form 3 for CNFR and when?

The form is signed by /s/ Jeffrey Hakala, Member with signature date 08/22/2025.

Does the filing indicate a change in control or officer appointment?

No. The filing indicates the reporting person is a Director; it does not disclose any change in control or officer appointment.

What event date triggered the Form 3 filing for CNFR?

The Date of Event Requiring Statement is 02/27/2025.
Conifer Holdings

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