Statement of Changes in Beneficial Ownership (4)
September 16 2021 - 05:29PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
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1. Name
and Address of Reporting Person * Hansen Kent A |
2. Issuer Name and Ticker or Trading
Symbol KINGSWAY FINANCIAL SERVICES INC [ KFS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
CFO & EVP |
(Last)
(First)
(Middle)
150 PIERCE ROAD, SUITE 600 |
3. Date of Earliest Transaction (MM/DD/YYYY)
9/16/2021
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(Street)
ITASCA, IL 60143
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
9/16/2021 |
|
P |
|
276 (1) |
A |
$5.43 |
59811 (2) |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
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1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
The shares of Common Stock
were acquired pursuant to?the Kingsway America Inc. Employee Share
Purchase Plan, as amended and restated effective May 29, 2014 (the
"ESPP").? Pursuant to the ESPP, eligible employees may contribute
an amount up to 5% of adjusted salary for each regular payroll
period and, to the extent such employee has been employed by
Kingsway America Inc. and its subsidiaries for 12 months, the
company will make a matching contribution equal to 100% of such
employee's contribution.? The employee contributions and company
contributions are used to purchase, as soon as administratively
practicable after the date of such contributions, shares of
Kingsway Financial Services Inc.? The shares are acquired by the
administrator of the ESPP on the open market through the services
of a duly registered stockbroker |
(2) |
Includes 40,000 shares of
restricted stock granted on February 26, 2021. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Hansen Kent A
150 PIERCE ROAD
SUITE 600
ITASCA, IL 60143 |
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CFO & EVP |
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Signatures
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/s/ Debra Rouse, attorney-in-fact for Kent A.
Hansen |
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9/16/2021 |
**Signature of Reporting
Person |
Date |
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