0001740236-21-000029.txt : 20210526 0001740236-21-000029.hdr.sgml : 20210526 20210526184115 ACCESSION NUMBER: 0001740236-21-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210525 FILED AS OF DATE: 20210526 DATE AS OF CHANGE: 20210526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROOKS ROGER K CENTRAL INDEX KEY: 0001069770 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11917 FILM NUMBER: 21967844 MAIL ADDRESS: STREET 1: 699 WALNUT STREET STREET 2: SUITE 2000 CITY: DES MOINES STATE: IA ZIP: 50309 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FBL FINANCIAL GROUP INC CENTRAL INDEX KEY: 0001012771 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 421411715 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5400 UNIVERSITY AVE CITY: WEST DES MOINES STATE: IA ZIP: 50266 BUSINESS PHONE: 5152255400 4 1 wf-form4_162206885446509.xml FORM 4 X0306 4 2021-05-25 1 0001012771 FBL FINANCIAL GROUP INC FFG 0001069770 BROOKS ROGER K 5400 UNIVERSITY AVENUE WEST DES MOINES IA 50266 1 0 0 0 Class A Common Stock 2021-05-25 4 D 0 2849 61 D 0 D Restricted Stock Units (Cash Settled) 2021-05-25 4 D 0 9868.01 61 D Class A Common Stock 9868.01 0 D In conjunction with the merger of FBL Financial Group, Inc. and 5400 Merger Sub, Inc. (the "Merger"), pursuant to an agreement and plan of merger dated January 11, 2021 and amended on May 2, 2021, the shares of FBL Financial Group, Inc. common stock were cancelled and automatically converted into the right to receive $61.00 per share, without interest. Each unit of cash settled RSUs represented the economic equivalent of one share of FBL Financial Group, Inc. Class A common stock. The cash settled RSUs were accrued under the FBL Financial Group, Inc. Director Compensation Plan. In conjunction with the Merger, these RSUs were cancelled and exchanged for the right to receive an amount in cash equal to $61.00 per unit, with payment subject to deferral elections made by the reporting person under the Director Compensation Plan. By: Mark Wickham per filed confirming stmt For: Roger Brooks 2021-05-26 EX-24 2 brooksconfirm.txt BROOKS POA CONFIRMING STATEMENT This Statement confirms that the undersigned, Roger K. Brooks, has authorized and designated any one of Lori K. Geadelmann, Douglas V. Shelton or Mark D. Wickham to execute and file on the undersigned's behalf all Forms 3, 4, and 5 (including any amendments thereto) that the undersigned may be required to file with the U.S. Securities and Exchange Commission as a result of the undersigned's ownership of or transactions in securities of FBL Financial Group, Inc. The authority of Lori K. Geadelmann, Douglas V. Shelton and Mark D. Wickham under this Statement shall continue until the undersigned is no longer required to file Forms 3, 4, and 5 with regard to the undersigned's ownership of or transactions in securities of FBL Financial Group, Inc., unless earlier revoked in writing. The undersigned acknowledges that Lori K. Geadelmann, Douglas V. Shelton and Mark D. Wickham are not assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. /s/ Roger K. Brooks Date: March 1, 2018 ___________________ (sign) Roger K. Brooks