Sec Form 4/A Filing - Golden Meryl S. @ KINGSTONE COMPANIES, INC. - 2023-08-21

Insider filing report for Changes in Beneficial Ownership
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FORM 4/A
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
Golden Meryl S.
2. Issuer Name and Ticker or Trading Symbol
KINGSTONE COMPANIES, INC. [ KINS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Operating Officer
(Last) (First) (Middle)
C/O KINGSTONE COMPANIES, INC., 15 JOYS LANE
3. Date of Earliest Transaction (MM/DD/YY)
08/21/2023
(Street)
KINGSTON, NY12401
4. If Amendment, Date Original Filed (MM/DD/YY)
08/23/2023
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 08/21/2023 P 72 A $ 1.58 72 I IRA
Common Stock 08/21/2023 P 586 A $ 1.68 658 I IRA
Common Stock 08/22/2023 P 3,000 A $ 1.7023 ( 1 ) 3,658 I IRA
Common Stock 167,959 ( 2 ) 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
Stock Option $ 8.72 ( 3 ) 09/25/2024 Common Stock 50,000 50,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Golden Meryl S.
C/O KINGSTONE COMPANIES, INC.
15 JOYS LANE
KINGSTON, NY12401
X Chief Operating Officer
Signatures
/s/ Meryl S. Golden 08/31/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )This transaction was executed in multiple trades at prices ranging from $1.70 to $1.74 per share. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide, upon request to the SEC staff, the issuer or a security holder of the issuer, full information regarding the number of shares and prices at which the transactions were effected.
( 2 )Includes 132,711 shares received pursuant to unvested restricted stock grants. Such shares vest to the extent of 800 shares on each of December 13, 2023 and December 13, 2024, 50,556 shares on January 3, 2024, 50,555 shares on December 31, 2024, 10,000 shares on each of January 3, 2024 and January 3, 2025 and 10,000 shares on January 4, 2024.
( 3 )The option is exercisable to the extent of 12,500 shares on each of September 25, 2019, September 25, 2020, September 25, 2021 and September 25, 2022.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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