Sec Form 3 Filing - Salem Anthony Michael @ MIDWEST HOLDING INC. - 2020-08-03

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
Salem Anthony Michael
2. Issuer Name and Ticker or Trading Symbol
MIDWEST HOLDING INC. [ MDWT]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Executive Officer
(Last) (First) (Middle)
1075 OLD POST ROAD
3. Date of Earliest Transaction (MM/DD/YY)
08/03/2020
(Street)
BEDFORD, NY10506
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 300,038,437 ( 1 ) ( 2 ) I By: Vespoint LLC
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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Salem Anthony Michael
1075 OLD POST ROAD
BEDFORD, NY10506
X X Chief Executive Officer
Signatures
A. Michael Salem 08/05/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Xenith Holdings LLC ("Xenith") distributed for no consideration 1,000,534,789 shares of common stock of Midwest Holding Inc., ("Common Stock") to its members on a pro rata basis. The reporting person retained a shared indirect beneficial ownership of 300,038,437 shares of Common Stock after giving effect to the distribution as described in footnote 2.
( 2 )Such shares of Common Stock were previously reported as being indirectly held by the reporting person through Vespoint LLC ("Vespoint"), the managing member of Xenith, in a group filing by Vespoint, Xenith, the reporting person and other members of the group. These shares of Common Stock were distributed in the pro rata distribution by Xenith noted in footnote 1 above to the other members of the group, leaving Vespoint directly owning 300,038,437 shares of Common Stock. The reporting person is a Co-Chief Executive Officer of Vespoint and in his capacity as such, may be deemed to exercise shared voting and investment power of the shares held by Vespoint. The reporting person disclaims beneifical ownership of such shares except to the extent of his pecuniary interest therein.

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