Douglas K. Bratton - 14 Jun 2022 Form 4 Insider Report for MIDWEST HOLDING INC.

Reporting relationship: Director, 10%+ Owner
Issuer ticker: N/A
Reported as of: 14 Jun 2022
Net transaction value: $0
SEC form: 4
Accepted by SEC: 16 Jun 2022, 16:07:17 UTC
Prior SEC filing: 15 Nov 2021
Next SEC filing: 04 Dec 2024
Source filing: View source filing
Reporting owner signature: DOUGLAS K. BRATTON, Name: /s/ Douglas K. Bratton

Key filing fact

Douglas K. Bratton filed Form 4 for MIDWEST HOLDING INC. on 16 Jun 2022.

Key facts

This page summarizes Douglas K. Bratton's Form 4 filing for MIDWEST HOLDING INC..
1 reported transaction and 0 derivative rows are listed below.
Accepted by SEC: 16 Jun 2022, 16:07.

Change

Previous filing in this sequence was filed on 15 Nov 2021.
Current net transaction value: $0.

Research use

This tells you what this filing adds before you inspect full transaction and derivative tables.
You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

MDWT transaction

Voting Common Stock

Award

Transaction value: $0
Shares: +2,674
Change %: +0.6%
Price: $0.000000
Shares after: 447,845
Date: 14 Jun 2022
Ownership: See Footnote
Footnotes: F1, F2, F3

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote F1

On June 14, 2022, the Board of Directors (the "Board") of Midwest Holding Inc. (the "Issuer") granted to Mr. Bratton, a member of the Board, 2,674 restricted stock units ("RSUs"). The RSUs vest 100% into shares of Voting Common Stock of the Issuer on a 1-for-1 basis on the earlier of the first anniversary of its date of grant and the date of the Issuer's next annual meeting of its stockholders, subject to Mr. Bratton's continued service on the Issuer's Board.

Footnote F2

Mr. Bratton serves on the Issuer's Board as a representative of Crestline Assurance Holdings LLC ("Crestline Assurance") and its affiliates. Mr. Bratton holds the RSUs reported herein for the benefit of Crestline Assurance and as a result does not have any direct pecuniary interest in such RSUs. Mr. Bratton may be deemed to have an indirect pecuniary interest in a portion of the RSUs through indirect membership interests in Crestline Assurance. The Manager of Crestline Assurance is Mr. Bratton and the Sole Member of Crestline Assurance is Crestline Management, L.P. ("Crestline Management"). Crestline Investors, Inc. ("Crestline") is the general partner of Crestline Management. Mr. Bratton is the sole director of Crestline. Crestline Management, Crestline and Mr. Bratton may each be deemed to beneficially own the securities beneficially owned by Crestline Assurance.

Footnote F3

(Continued from Footnote 2), Each such entity and Mr. Bratton disclaims beneficial ownership of such securities except to the extent of its or his respective pecuniary interest therein.

SEC remarks

Douglas K. Bratton is a member of the Board of Directors of Midwest Holding Inc. (the "Issuer"). For purposes of Section 16 of the Securities Exchange Act of 1934, as amended, Crestline Assurance Holdings LLC, Crestline Management, L.P. and Crestline Investors, Inc. may be deemed to be directors by deputization of the Issuer due to their relationship with Mr. Bratton.