Fundamental Global Inc
For the period ended Dec 31, 2023. Filed Mar 14, 2024.
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FY2023 · Filed Mar 14, 2024
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ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
The following documents are filed as part of this report
| (a) | Financial Statements – The following consolidated financial statements of the Company and the reports of independent audit thereon are filed with this report: |
| i. | Independent Auditor’s Report |
| ii. | Consolidated Balance Sheets as of December 31, 2023 and 2022 |
| iii. | Consolidated Statements of Operations for the Years Ended December 31, 2023 and 2022 |
| iv. | Consolidated Statements of Shareholders’ Equity for the Years ended December 31, 2023 and 2022 |
| v. | Consolidated Statements of Cash Flows for the Years ended December 31, 2023 and 2022 |
| vi. | Notes to the Consolidated Financial Statements for the Years ended December 31, 2023 and 2022 |
| (b) | Financial Statement Schedules – Schedules other than those listed above are omitted for the reason that they are not applicable, or the information is otherwise contained in the Financial Statements. |
| (c) | Exhibits - the exhibits listed below are filed or incorporated by reference as part of this report. |
| Exhibit · Incorporated by Reference to: | ||||
|---|---|---|---|---|
| No. · Description · Document · Exh. No. | ||||
| 3.1 | Certificate of Merger, as filed with the Secretary of State of the State of Delaware on December 7, 2022 | [2] | 3.1 | |
| 3.2 | Articles of Merger, as filed with the Secretary of State of the State of Nevada on December 7, 2022 | [2] | 3.2 | |
| 3.3 | Articles of Incorporation, as filed with the Secretary of State of the State of Nevada | [2] | 3.3 | |
| 3.4 | Certificate of Correction, dated October 11, 2022, to the Certificate of Amendment of the Fourth Amended and Restated Certificate of Incorporation of FG Financial Group, Inc. | [7] | 3.1 | |
| 3.4 | By-Laws | [2] | 3.4 | |
| 4.1 | Form of Common Stock certificate | [4] | 4.1 | |
| 4.2 | Common Stock Purchase Warrant | [5] | 4.2 | |
| 4.3 | Form of Global Certificate of Cumulative Preferred Stock, Series A | [6] | 4.4 | |
| 4.4 | Description of securities | [3] | 4.4 | |
| 10.1 | † | Amended and Restated 2014 Equity Incentive Plan | [8] | 10.1 |
| 10.2 | † | 2018 Equity Incentive Plan | [9] | 10.1 |
| 10.3 | † | 2021 Equity Incentive Plan | [3] | 10.1 |
| 10.4 | † | Form of Director and Officer Indemnification Agreement | [4] | 10.6 |
| 10.5 | † | Equity Award Letter Agreement between registrant and Larry Swets | [10] | 10.1 |
| 10.6 | † | Stock Option Agreement between registrant and Larry Swets | [11] | 10.5 |
| 10.7 | † | Form of Restricted Stock Unit Agreement for executive officers under 2014 Equity Incentive Plan | [13] | 10.2 |
| 10.8 | † | Form of Executive Restricted Stock Unit Agreement under the Share-Matching Program under 2014 Equity Incentive Plan | [15] | 10.1 |
| 10.9 | † | Form of Non-Employee Director Restricted Stock Unit Agreement under the Share-Matching Program under 2014 Equity Incentive Plan | [15] | 10.2 |
| 10.10 | † | Form of Stock Option Agreement under 2018 Equity Incentive Plan | [9] | 10.2 |
| 10.11 | † | Form of Restricted Share Agreement under 2018 Equity Incentive Plan | [12] | 10.3 |
| 10.12 | † | Form of Restricted Share Unit Agreement under 2018 Equity Incentive Plan | [12] | 10.4 |
| 10.13 | † | Form of Non-Employee Director Restricted Share Unit Agreement under 2018 Equity Incentive Plan | [14] | 10.3 |
| 10.14 | † | Form of Executive Stock Grant Agreement under 2018 Equity Incentive Plan | [16] | 10.1 |
| 10.15 | *† | Form of Executive Restricted Share Unit Agreement for Share-Matching Grants under 2018 Equity Incentive Plan | [16] | 10.2 |
| 10.16 | *† | Form of Non-Employee Director Restricted Share Unit Agreement under 2021 Equity Incentive Plan | [25] | 10.16 |
| 10.17 | Registration Rights Agreement, dated December 2, 2019, between FedNat Holding Company and registrant | [17] | 10.1 | |
| 10.18 | Standstill Agreement, dated December 2, 2019, between FedNat Holding Company and registrant | [19] | 10.2 | |
| 10.19 | Reinsurance Capacity Right of First Refusal Agreement, dated December 2, 2019, by and between FedNat Holding Company and registrant | [17] | 10.3 | |
| 10.20 | † | Investment Advisory Agreement, dated December 2, 2019, between FedNat Holding Company and registrant | [17] | 10.4 |
| 10.21 | † | Employment Agreement, dated December 2, 2019, between Brian D. Bottjer and registrant | [21] | 10.3 |
| 10.22 | † | Employment Agreement, dated November 10, 2020, between Larry G. Swets, Jr. and registrant | [18] | 10.1 |
| 10.23 | Amended and Restated Limited Liability Agreement of Fundamental Global Asset Management, LLC dated August 6, 2021 | [22] | 10.1 | |
| 10.24 | † | Second Amended and Restated Management Services Agreement, dated August 11, 2021, between Sequoia Financial LLC and registrant | [22] | 10.2 |
| 10.25 | Shared Services Agreement, dated August 11, 2022, between Fundamental Global Management, LLC and registrant | [23] | 10.1 | |
| 10.26 | Amendment No. 1 to FG Financial Group, Inc. 2021 Equity Incentive Plan | [24] | 10.1 | |
| 10.27 | FG Financial Group, Inc. 2023 Employee Share Purchase Plan | [24] | 10.2 | |
| 21.1 | * | Registrant’s subsidiaries | ||
| 23.1 | * | Consent of Independent Registered Public Accounting Firm. | ||
| 24.1 | * | Power of Attorney (included on signature page). | ||
| 31.1 | * | Certification of Principal Executive Officer pursuant to Rule 13a-14(a) of the Exchange Act. | ||
| 31.2 | * | Certification of Principal Financial Officer pursuant to Rule 13a-14(a) of the Exchange Act. | ||
| 32.1 | ** | Certification of Principal Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. | ||
| 32.2 | ** | Certification of Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. | ||
| 97 | * | FG Financial Group, Inc. Clawback Policy | ||
| 101.INS | * | Inline XBRL Instance Document. | ||
| 101.SCH | * | Inline XBRL Taxonomy Extension Schema. | ||
| 101.CAL | * | Inline XBRL Taxonomy Extension Calculation Linkbase. | ||
| 101.DEF | * | Inline XBRL Taxonomy Extension Definition Linkbase. | ||
| 101.LAB | * | Inline XBRL Taxonomy Extension Label Linkbase. | ||
| 101.PRE | * | Inline XBRL Taxonomy Extension Presentation Linkbase. | ||
- Filed herewith.
** Furnished herewith.
† Management contract or compensatory plan or arrangement
[1] Registrant’s Current Report on Form 8-K filed December 17, 2020
[2] Registrant’s Current Report on Form 8-K filed December 9, 2022
[3] Registrant’s Annual Report on Form 10K for year ended December 31, 2022, filed March 24, 2023
[4] Registrant’s Registration Statement on Form S-1/A1 (Reg. no. 333-193314), filed January 30, 2014
[5] Registrant’s Current Report on Form 8-K filed February 27, 2015
[6] Registrant’s Registration Statement on Form S-1/A1 (Reg. no. 333-222470), filed February 5, 2018
[7] Registrant’s Current Report on Form 8-K filed October 12, 2022
[8] Registrant’s Definitive Proxy Statement on Schedule 14A filed April 30, 2015
[9] Registrant’s Current Report on Form 8-K filed June 1, 2018
[10] Registrant’s Current Report on Form 8-K filed January 19, 2021
[11] Registrant’s Annual Report on Form 10-K for year ended December 31, 2020, filed March 18, 2021
[12] Registrant’s Current Report on Form 8-K filed June 1, 2018
[13] Registrant’s Current Report on Form 8-K filed June 2, 2015
[14] Registrant’s Quarterly Report on Form 10-Q for quarter ended September 30, 2018, filed November 13, 2018
[15] Registrant’s Current Report on Form 8-K filed December 19, 2017
[16] Registrant’s Current on Report on Form 8-K filed August 28, 2018
[17] Registrant’s Current Report on Form 8-K filed December 2, 2019
[18] Registrant’s Current Report on Form 8-K filed November 16, 2020
[19] Registrant’s Current Report on Form 8-K filed April 6, 2020
[20] Registrant’s Definitive Proxy Statement on Schedule 14A filed April 30, 2015
[21] Registrant’s Current Report on Form 8-K filed December 2, 2019
[22] Registrant’s Quarterly Report on Form 10-Q for quarter ended June 30, 2021, filed August 16, 2021
[23] Registrant’s Quarterly Report on Form 10-Q for quarter ended June 30, 2022, filed August 11, 2022
[24] Registrant’s Current Report on Form 8-K filed May 17, 2023
[25] Registrant’s Annual Report on Form 10-K for year ended December 31, 2021, filed March 30, 2022
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