1. Name and Address of Reporting Person* 10 EAST 53RD STREET, 31ST FLOOR | | (Street) | 2. Date of Event Requiring Statement (Month/Day/Year) 07/16/2020 | 3. Issuer Name and Ticker or Trading Symbol Trean Insurance Group, Inc. [ TIG ] |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable) X | Director | X | 10% Owner | | Officer (give title below) | | Other (specify below) | | | 5. If Amendment, Date of Original Filed (Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line) | Form filed by One Reporting Person | X | Form filed by More than One Reporting Person | |
1. Name and Address of Reporting Person* 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
1. Name and Address of Reporting Person* 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
1. Name and Address of Reporting Person* 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
1. Name and Address of Reporting Person* 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
1. Name and Address of Reporting Person* 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
1. Name and Address of Reporting Person* 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
1. Name and Address of Reporting Person*Altaris Constellation Partners, L.P. | 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
1. Name and Address of Reporting Person*AHP Constellation GP, L.P. | 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
1. Name and Address of Reporting Person* 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
1. Name and Address of Reporting Person*Altaris Health Partners III, L.P. | 10 EAST 53RD STREET, 31ST FLOOR | | (Street) |
| ALTARIS PARTNERS, LLC, By: /s/ Jason Zgliniec, power of attorney | 07/16/2020 |
| AHP-TH LLC, By: /s/ Jason Zgliniec, power of attorney | 07/16/2020 |
| AHP-BHC LLC, By: /s/ Jason Zgliniec, power of attorney | 07/16/2020 |
| ACP-TH LLC, By: /s/ Jason Zgliniec, power of attorney | 07/16/2020 |
| ACP-BHC LLC, By: /s/ Jason Zgliniec, power of attorney | 07/16/2020 |
| AHP III GP, L.P., By: Altaris Partners, LLC, its general partner, By: /s/ Jason Zgliniec, power of attorney | 07/16/2020 |
| ALTARIS CONSTELLATION PARTNERS L.P., By: AHP Constellation GP, L.P., its general partner, By: /s/ Jason Zgliniec, power of attorney | 07/16/2020 |
| AHP CONSTELLATION GP, L.P., By: Altaris Partners, LLC, its general partner, By: /s/ Jason Zgliniec, power of attorney | 07/16/2020 |
| /s/ Jason Zgliniec, power of attorney for George Aitken-Davies | 07/16/2020 |
| ALTARIS HEALTH PARTNERS III, L.P., By: AHP III GP L.P., its general partner, By: /s/ Jason Zgliniec, power of attorney | 07/16/2020 |
| ** Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |