0001740236-21-000049.txt : 20210526
0001740236-21-000049.hdr.sgml : 20210526
20210526195630
ACCESSION NUMBER: 0001740236-21-000049
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210525
FILED AS OF DATE: 20210526
DATE AS OF CHANGE: 20210526
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pitcher Daniel D
CENTRAL INDEX KEY: 0001569353
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11917
FILM NUMBER: 21968027
MAIL ADDRESS:
STREET 1: 5400 UNIVERSITY AVENUE
CITY: WEST DES MOINES
STATE: IA
ZIP: 50266
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_162207337657531.xml
FORM 4
X0306
4
2021-05-25
1
0001012771
FBL FINANCIAL GROUP INC
FFG
0001569353
Pitcher Daniel D
5400 UNIVERSITY AVE
WEST DES MOINES
IA
50266
1
1
0
0
Chief Executive Officer
Class A Common Stock
2021-05-25
4
D
0
6501.268
61
D
0
I
by Trust
Restricted Stock Units (Cash Settled)
2021-05-25
4
D
0
4954
D
2026-02-01
Class A Common Stock
4954.0
0
D
Restricted Stock Units (Cash Settled)
2021-05-25
4
D
0
3645
D
2025-02-01
Class A Common Stock
3645.0
0
D
Restricted Stock Units (Cash Settled)
2021-05-25
4
D
0
1233
D
2024-02-01
Class A Common Stock
1233.0
0
D
Restricted Stock Units (Cash Settled)
2021-05-25
4
D
0
788
D
2023-02-01
Class A Common Stock
788.0
0
D
Restricted Stock Units (Cash Settled)
2021-05-25
4
D
0
393
D
2022-02-01
Class A Common Stock
393.0
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 subject to vesting schedules of 20% of the units on each of the first five anniversaries of the grant date, ending on the expiration date. 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, plus the aggregate sum of any cash dividend equivalents in respect of such units, with payment to be made in accordance with the vesting schedules applicable to the RSUs prior to the Merger, subject to the continued employment of the reporting person.
By: Mark Wickham per filed confirming stmt For: Daniel David Pitcher
2021-05-26