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