SEC Form 5
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*
Costello Beth Ann

(Last) (First) (Middle)
ONE HARTFORD PLAZA

(Street)
HARTFORD CT 06155

(City) (State) (Zip)
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)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP and CFO
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)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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)
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).
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