0001209191-17-061199.txt : 20171116
0001209191-17-061199.hdr.sgml : 20171116
20171116164135
ACCESSION NUMBER: 0001209191-17-061199
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20171114
FILED AS OF DATE: 20171116
DATE AS OF CHANGE: 20171116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Colberg Alan B.
CENTRAL INDEX KEY: 0001516501
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31978
FILM NUMBER: 171208444
MAIL ADDRESS:
STREET 1: ASSURANT, INC.
STREET 2: ONE CHASE MANHATTAN PLAZA, 41 FL.
CITY: NEW YORK
STATE: NY
ZIP: 10005
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ASSURANT INC
CENTRAL INDEX KEY: 0001267238
STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321]
IRS NUMBER: 391126612
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 28 LIBERTY STREET
STREET 2: 41ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10005
BUSINESS PHONE: 212-859-7000
MAIL ADDRESS:
STREET 1: 28 LIBERTY STREET
STREET 2: 41ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10005
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-11-14
0
0001267238
ASSURANT INC
AIZ
0001516501
Colberg Alan B.
C/O ASSURANT, INC.
28 LIBERTY STREET, 41 FL.
NEW YORK
NY
10005
1
1
0
0
President and CEO
Common Stock
2017-11-14
4
F
0
196
98.85
D
79371.479
D
Includes 88.5390 shares acquired under the Assurant, Inc. Amended and Restated 2004 Employee Stock Purchase Plan ("ESPP") on June 30, 2017.
Includes restricted stock units.
Lisa Richter, Attorney-in-Fact
2017-11-16
EX-24.4_752548
2
poa.txt
POA DOCUMENT
SECTION 16
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and
appoints Lisa Richter, Paulette Lang, and Mariana Wisk or any of them, signing
singly, the undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer, director and/or 10% shareholder of Assurant, Inc. (the
"Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities
Exchange Act of 1934, as amended,(the "Exchange Act") and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5
and timely file such form with the U.S. Securities and Exchange Commission and
any stock exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 1st day of July, 2016.
/s/ Alan B. Colberg