Sec Form 4 Filing - Inayatullah Arif @ TIPTREE INC. - 2022-09-01

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Inayatullah Arif
2. Issuer Name and Ticker or Trading Symbol
TIPTREE INC. [ TIPT]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O TIPTREE INC., 299 PARK AVENUE, 13TH FL.
3. Date of Earliest Transaction (MM/DD/YY)
09/01/2022
(Street)
NEW YORK, NY10171
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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
Common Stock 3,537,412 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
January 2016 Stock Option( 1 ) $ 5.67 09/01/2022 A 26,166 ( 2 ) ( 3 ) Common Stock 26,166 $ 0 26,166 D
March 2016 Stock Option( 4 ) $ 5.87 09/01/2022 A 2,616 ( 2 ) ( 5 ) Common Stock 2,616 $ 0 2,616 D
February 2017 Stock Option( 6 ) $ 6.65 09/01/2022 A 62,859 ( 2 ) ( 7 ) Common Stock 62,859 $ 0 62,859 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Inayatullah Arif
C/O TIPTREE INC.
299 PARK AVENUE, 13TH FL.
NEW YORK, NY10171
X
Signatures
/s/ Neil C. Rifkind, as Attorney-in-fact for Arif Inayatullah 09/01/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The reporting person is a partner in Corvid Peak Holdings, L.P. ("Corvid Peak") and received these stock options from Corvid Peak in a pro rata distribution in accordance with the reporting person's partnership interests in such entity. Corvid Peak received these stock options on January 4, 2016 as incentive compensation approved by the Issuer's Compensation, Nominating and Governance Committee for Michael Barnes's services as Executive Chairman of the Issuer under a Transition Services Agreement between Corvid Peak and the Issuer.
( 2 )Exercise of these stock options is from the grant date.
( 3 )The Stock Option will expire on the earlier of (1) January 4, 2026 and (2) the date of the termination of Michael Barnes's service with the Registrant for Cause (as defined in the Stock Option Agreement) or Michael Barnes's voluntary termination of service with the Registrant.
( 4 )The reporting person is a partner in Corvid Peak Holdings, L.P. ("Corvid Peak") and received these stock options from Corvid Peak in a pro rata distribution in accordance with the reporting person's partnership interests in such entity. Corvid Peak received these stock options on March 10, 2016 as incentive compensation approved by the Issuer's Compensation, Nominating and Governance Committee for Michael Barnes's services as Executive Chairman of the Issuer under a Transition Services Agreement between Corvid Peak and the Issuer.
( 5 )The Stock Option will expire on the earlier of (1) March 10, 2026 and (2) the date of the termination of Michael Barnes's service with the Registrant for Cause (as defined in the Stock Option Agreement) or Michael Barnes's voluntary termination of service with the Registrant.
( 6 )The reporting person is a partner in Corvid Peak Holdings, L.P. ("Corvid Peak") and received these stock options from Corvid Peak in a pro rata distribution in accordance with the reporting person's partnership interests in such entity. Corvid Peak received these stock options on February 22, 2017 as incentive compensation approved by the Issuer's Compensation, Nominating and Governance Committee for Michael Barnes's services as Executive Chairman of the Issuer under a Transition Services Agreement between Corvid Peak and the Issuer.
( 7 )The Stock Option will expire on the earlier of (1) February 22, 2027 and (2) the date of the termination of Michael Barnes's service with the Registrant for Cause (as defined in the Stock Option Agreement) or Michael Barnes's voluntary termination of service with the Registrant.

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