Georgette C. Nicholas - 20 Dec 2023 Form 4 Insider Report for MIDWEST HOLDING INC.

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
21 Dec 2023, 16:18:19 UTC
Prior SEC filing
23 Dec 2021
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Georgette Nicholas

Key filing fact

Georgette C. Nicholas filed Form 4 for MIDWEST HOLDING INC. on 21 Dec 2023.

Key facts

  • This page summarizes Georgette C. Nicholas's Form 4 filing for MIDWEST HOLDING INC..
  • 1 reported transaction and 1 derivative row are listed below.
  • Accepted by SEC: 21 Dec 2023, 16:18.

Change

  • Previous filing in this sequence was filed on 23 Dec 2021.
  • Current net transaction value: -$318,900.

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 derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

MDWT transaction Derivative

Stock Option (Right to Buy)

Disposed to Issuer

Transaction value
$318,900
Shares
-30,000
Change %
-100%
Price
$10.63
Shares after
0
Date
20 Dec 2023
Ownership
Direct
Underlying class
Common Stock
Underlying amount
30,000
Exercise price
$16.37
Footnotes
F1, F2
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Georgette C. Nicholas is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 2 footnotes

Footnote F1

Pursuant to the Agreement and Plan of Merger, dated as of April 30, 2023 (the "Merger Agreement"), by and among Midwest Holding Inc., a Delaware corporation (the "Company"), Midas Parent, LP, a Delaware limited partnership ("Parent") and Midas Merger Acquisition Sub, Inc., a Delaware corporation and a wholly owned subsidiary of Parent, whereby at the effective time of the merger contemplated therein (the "Effective Time"), each share of Company Common Stock issued and outstanding immediately prior to the Effective Time, subject to certain exceptions as provided in the Merger Agreement, was converted into the right to receive $27.00 in cash, without interest (the "Merger Consideration"), subject to any required tax withholding as provided in the Merger Agreement.

Footnote F2

At the Effective Time, each Company stock option vested and exercisable or held by the reporting person, as well as non-employee directors or certain other identified individuals (whether or not vested or exercisable), and each Company stock option that vested upon the merger under the terms applicable thereto ("Vested Company Option"), in each case, that was in-the-money was cancelled and converted, in accordance with the terms of the Merger Agreement, into the right to receive a cash payment equal to, for each share of Common Stock subject to the Vested Company Option held by the reporting person immediately prior to the Effective Time, the excess of the Merger Consideration over the exercise price per share of Company Common Stock. At the Effective Time, each Vested Company Option that was out-of-the-money was cancelled for no consideration in accordance with the terms of the Merger Agreement.

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