| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Clark David Lewis | Chairman, Director | 5426 BAY CENTER DRIVE, SUITE 600, TAMPA | /s/ David Lewis Clark | 2025-05-07 | 0002065550 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | AII | Common Stock | 461K | May 7, 2025 | See Footnotes | F1, F2, F3 |
| Id | Content |
|---|---|
| F1 | Consists of 461,463 shares of common stock, par value $0.001, of American Integrity Insurance Group, Inc. (the "Issuer") held directly by the David and Kimberly Clark 2016 Irrevocable Trust. |
| F2 | David Lewis Clark is the Trustee of the David and Kimberly Clark 2016 Irrevocable Trust and may be deemed for purposes of Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or otherwise to beneficially own any securities owned by the David and Kimberly Clark 2016 Irrevocable Trust. Mr. Clark disclaims beneficial ownership of the securities covered by this statement, except to the extent of the pecuniary interest of such reporting person in such securities. Each reporting person states that neither the filing of this statement nor anything herein shall be deemed an admission that such reporting person is, for purposes of Section 16 of the Exchange Act or otherwise, the beneficial owner of any securities covered by this statement. |
| F3 | The reporting persons may be deemed to be a member of a group with respect to the Issuer or securities of the Issuer for purposes of Section 13(d) or 13(g) of the Exchange Act. The reporting persons declare that neither the filing of this statement nor anything herein shall be construed as an admission that such persons are, for the purposes of Section 13(d) or 13(g) of the Exchange Act or any other purpose, a member of a group with respect to the Issuer or securities of the Issuer. |