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MDWT Midwest Holding Inc

26.99
0.00 (0.00%)
15 May 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type
Midwest Holding Inc NASDAQ:MDWT NASDAQ Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.00 0.00% 26.99 26.00 27.05 0 01:00:00

Statement of Changes in Beneficial Ownership (4)

21/04/2021 9:27pm

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
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
0.5                       
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Havranek Debra
2. Issuer Name and Ticker or Trading Symbol

MIDWEST HOLDING INC. [ mdwt ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
VP & CFO
(Last)          (First)          (Middle)

2900 SOUTH 70TH STREET, SUITE 400
3. Date of Earliest Transaction (MM/DD/YYYY)

3/11/2021
(Street)

LINCOLN, NE 68506
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
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

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security3. Trans. Date3A. Deemed Execution Date, if any4. 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 Date7. 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)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Stock Option (right to buy) $55.02 3/11/2021  A   1500    3/11/2023 (1)3/11/2031 Voting Common Stock 1500 $0 1500 D  
Stock Option (right to buy) $25           7/17/2021 (2)7/17/2029 Voting Common Stock 3000  3000 D  

Explanation of Responses:
(1) Options vest as follows: (i) 750 shares vest on March 11, 2023 and (ii) 750 shares vest on March 11, 2025, subject to the Reporting Peron's continued service as an employee of the Company. Vesting is also subject to acceleration under certain circumstances.
(2) Options vest as follows: (i) 1,000 shares vest on July 17, 2021 and (ii) 2,000 shares vest on July 17, 2023, subject to the Reporting Peron's continued service as an employee of the Company. Vesting is also subject to acceleration under certain circumstances.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Havranek Debra
2900 SOUTH 70TH STREET
SUITE 400
LINCOLN, NE 68506


VP & CFO

Signatures
Debra Havranek4/21/2021
**Signature of Reporting PersonDate

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