0001740236-21-000059.txt : 20210526
0001740236-21-000059.hdr.sgml : 20210526
20210526201930
ACCESSION NUMBER: 0001740236-21-000059
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: Whitehead Jeffrey A
CENTRAL INDEX KEY: 0001822613
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11917
FILM NUMBER: 21968098
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_162207475507785.xml
FORM 4
X0306
4
2021-05-25
1
0001012771
FBL FINANCIAL GROUP INC
FFG
0001822613
Whitehead Jeffrey A
5400 UNIVERSITY AVENUE
WEST DES MOINES
IA
50266
0
1
0
0
Chief Investment Officer
Restricted Stock Units (Cash Settled)
2021-05-25
4
D
0
2299
D
2026-02-01
Class A Common Stock
2299.0
0
D
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 of FBL Financial Group, Inc. and 5400 Merger Sub, Inc., pursuant to an agreement and plan of merger dated January 11, 2021 and amended on May 2, 2021, 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: Jeffrey Whitehead
2021-05-26