Sachin Goel - Nov 11, 2021 Form 4 Insider Report for MIDWEST HOLDING INC. (MDWT)

Role
Director
Signature
Sachin Goel
Stock symbol
MDWT
Transactions as of
Nov 11, 2021
Transactions value $
$0
Form type
4
Date filed
11/15/2021, 12:52 PM
Next filing
Aug 2, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction MDWT Voting Common Stock Award $0 +727 $0.00 727 Nov 11, 2021 Direct F1
holding MDWT Voting Common Stock 4.44K Nov 11, 2021 Indirect F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding MDWT Stock Option (right to buy) 100 Nov 11, 2021 Voting Common Stock 100 $25.00 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The reported shares underlie a restricted stock unit award which vests on the earlier of the first anniversary of its date of grant and the next date of the annual meeting of stockholders, subject to the terms of the restricted stock unit agreement and the Issuer's Long-Term Incentive Plan. Each restricted stock unit represents the contingent right to receive one share of voting common stock of the Issuer.
F2 The shares were purchased by the Goel Family LTD Partnership II. The general partner is the reporting person's father and the reporting person is one of three limited partners. The reporting person disclaims beneficial ownership of the Midwest Holding Inc. voting common stock held by the limited partnership except to the extent of his pecuniary interest therein.
F3 33 shares became exercisable on July 17, 2021, and the remaining 67 shares will become exercisable on July 17, 2023.