# EDGAR Filing Document

**Accession Number:** 0001681206
**File Stem:** 0001174947-23-000010
**Filing Date:** 2023-1
**Character Count:** 6187
**Document Hash:** 6fa597de0ec98bf372c33099dd8160c8
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001174947-23-000010.hdr.sgml**: 20230110

**ACCESSION NUMBER**: 0001174947-23-000010

**CONFORMED SUBMISSION TYPE**: 8-K

**PUBLIC DOCUMENT COUNT**: 12

**CONFORMED PERIOD OF REPORT**: 20230110

**ITEM INFORMATION**: Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers: Compensatory Arrangements of Certain Officers

**FILED AS OF DATE**: 20230110

**DATE AS OF CHANGE**: 20230110

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** NI Holdings, Inc.
- **CENTRAL INDEX KEY:** 0001681206
- **STANDARD INDUSTRIAL CLASSIFICATION:** FIRE, MARINE & CASUALTY INSURANCE [6331]
- **IRS NUMBER:** 812683619
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 8-K
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-37973
- **FILM NUMBER:** 23520923

**BUSINESS ADDRESS:**
- **STREET 1:** 1101 FIRST AVENUE NORTH
- **CITY:** FARGO
- **STATE:** ND
- **ZIP:** 58102
- **BUSINESS PHONE:** 701-298-4200

**MAIL ADDRESS:**
- **STREET 1:** 1101 FIRST AVENUE NORTH
- **CITY:** FARGO
- **STATE:** ND
- **ZIP:** 58102

?xml version="1.0" encoding="utf-8"?

**UNITED STATES**

**SECURITIES AND EXCHANGE COMMISSION**

**Washington, D.C. 20549**

**FORM 8-K**

**CURRENT REPORT**

**Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934**

Date of Report (Date of earliest event reported): **January 10, 2023**

---

| | | |
|:---|:---|:---|
| **<u>NI Holdings, Inc.</u>** | **<u>NI Holdings, Inc.</u>** | **<u>NI Holdings, Inc.</u>** |
| (Exact name of registrant as specified in its charter) | (Exact name of registrant as specified in its charter) | (Exact name of registrant as specified in its charter) |
| North Dakota | 001-37973 | 81-2683619 |
| (State or other jurisdiction of incorporation) | (Commission File Number) | (IRS Employer Identification No.) |
| <u>1101 First Avenue North</u><br> <u>Fargo, North Dakota</u> | <u>1101 First Avenue North</u><br> <u>Fargo, North Dakota</u> | <u>1101 First Avenue North</u><br> <u>Fargo, North Dakota</u> |
| (Address of principal executive offices) | (Address of principal executive offices) | (Address of principal executive offices) |
| 58102 | 58102 | 58102 |
| (Zip code) | (Zip code) | (Zip code) |
| (701) 298-4200 | (701) 298-4200 | (701) 298-4200 |
| (Registrant's telephone number, including area code) | (Registrant's telephone number, including area code) | (Registrant's telephone number, including area code) |
| N/A | N/A | N/A |
| (Former name or former address, if changed since last report.) | (Former name or former address, if changed since last report.) | (Former name or former address, if changed since last report.) |

---

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (<u>see</u> General Instruction A.2 below):

---

| |
|:---|
| Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
| Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
| Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
| Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |

---

Securities registered pursuant to Section 12(b) of the Securities Exchange Act of 1934:

---

| | | |
|:---|:---|:---|
| Title of each class | Trading Symbol(s) | Name of each exchange on which registered |
| Common Stock, $0.01 par value per share | NODK | Nasdaq Capital Market |

---

Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company [ ]

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. [ ]

---

| | |
|:---|:---|
| **Item 5.02.** | **Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.** |

---

On January 10, 2023, the Board of Directors (the "Board") of NI Holdings, Inc. (the "Company") increased the number of directors on the Board to eight directors and appointed Prakash Mathew as a Class II director of the Company to fill the resulting vacancy, effective February 1, 2023, to serve until the 2024 Annual Meeting of Stockholders, or until his earlier death, disqualification, resignation, or removal. The Board has determined that Mr. Mathew is an independent director under the listing standards of the Nasdaq Capital Market. As of the date of this Current Report on Form 8-K (this "Report"), the Board has not appointed Mr. Mathew to any committees of the Board. The Company will amend this Report when Mr. Mathew is appointed to any Board committees.

There are no family relationships between Mr. Mathew and any director or executive officer of the Company and Mr. Mathew does not have a direct or indirect material interest in any transaction required to be disclosed pursuant to Item 404(a) of Regulation S-K.

Upon the effectiveness of Mr. Mathew's appointment to the Board, Mr. Mathew will be eligible to receive the standard compensation received by non-employee directors, which compensation was last described in the Company's Definitive Proxy Statement filed with the Securities and Exchange Commission (the "SEC") on April 12, 2022, and is incorporated herein by reference.

**SIGNATURE**

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

---

| | | |
|:---|:---|:---|
|  | NI Holdings, Inc. | NI Holdings, Inc. |
| Date: January 10, 2023 | By: | /s/ Michael J. Alexander |
|  |  | Michael J. Alexander |
|  |  | President and Chief Executive Officer |

---