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