FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
HARTFORD FINANCIAL SERVICES GROUP, INC. [ HIG ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2021 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock | 01/07/2021 | G(1) | 5,000 | D | $0.0000 | 48,694.287(2) | D | ||||||||
Common Stock | 05/03/2021 | G(1) | 5,000 | D | $0.0000 | 40,285.037 | D | ||||||||
Common Stock | 05/11/2021 | G(3) | 11 | D | $0.0000 | 0.087(4) | I | By Spouse | |||||||
Common Stock | 05/14/2021 | G(3) | 0.087 | D | $0.0000 | 0.0000 | I | By Spouse |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Stock Option | $35.83 | (5) | 03/04/2024 | Common Stock | 47,214 | 47,214 | D | |||||||
Stock Option | $41.25 | (6) | 03/03/2025 | Common Stock | 77,830 | 77,830 | D | |||||||
Stock Option | $43.59 | (7) | 03/01/2026 | Common Stock | 72,076 | 72,076 | D | |||||||
Stock Option | $48.89 | (8) | 02/28/2027 | Common Stock | 70,679 | 70,679 | D | |||||||
Stock Option | $49.01 | (9) | 02/26/2029 | Common Stock | 75,790 | 75,790 | D | |||||||
Stock Option | $51.87 | (10) | 02/23/2031 | Common Stock | 67,204 | 67,204 | D | |||||||
Stock Option | $53.81 | (11) | 02/27/2028 | Common Stock | 63,194 | 63,194 | D | |||||||
Stock Option | $55.27 | (12) | 02/25/2030 | Common Stock | 71,318 | 71,318 | D |
Explanation of Responses: |
1. This transaction involved a gift to a charitable institution. |
2. Due to an issue with our filing platform, the amount shown in this column represents the reporting person's beneficial ownership following the transaction reported. On December 31, 2021, the reporting person beneficially owned 40,285.037 shares of Common Stock. |
3. This transaction involved a gift to a charitable institution, by the reporting person's spouse. |
4. Due to an issue with our filing platform, the amount shown in this column represents shares held by the reporting person's spouse following the transaction reported. On December 31, 2021, the reporting person's spouse held no shares of Common Stock. |
5. The options became fully exercisable on March 4, 2017, the third anniversary of the grant date. |
6. The options became fully exercisable on March 3, 2018, the third anniversary of the grant date. |
7. The options became fully exercisable on March 1, 2019, the third anniversary of the grant date. |
8. The options became fully exercisable on February 28, 2020, the third anniversary of the grant date. |
9. One-third of the options became exercisable on February 26, 2020, an additional one-third of the options became exercisable on February 26, 2021 and the remaining one-third of the options will become exercisable on February 26, 2022, the third anniversary of the grant date. |
10. One-third of the options will become exercisable on February 23, 2022, an additional one-third of the options will become exercisable on February 23, 2023 and the remaining one-third of the options will become exercisable on February 23, 2024, the third anniversary of the grant date. |
11. The options became fully exercisable on February 27, 2021, the third anniversary of the grant date. |
12. One-third of the options became exercisable on February 25, 2021, an additional one-third of the options will become exercisable on February 25, 2022 and the remaining one-third of the options will become exercisable on February 25, 2023, the third anniversary of the grant date. |
Anthony J. Salerno, Jr., Attorney-in-Fact | 02/14/2022 | |
** 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 4 (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. |