0001209191-22-059742.txt : 20221205 0001209191-22-059742.hdr.sgml : 20221205 20221205170314 ACCESSION NUMBER: 0001209191-22-059742 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221201 FILED AS OF DATE: 20221205 DATE AS OF CHANGE: 20221205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fidelity National Financial, Inc. CENTRAL INDEX KEY: 0001331875 STANDARD INDUSTRIAL CLASSIFICATION: TITLE INSURANCE [6361] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41490 FILM NUMBER: 221445740 BUSINESS ADDRESS: STREET 1: 601 RIVERSIDE AVENUE CITY: JACKSONVILLE STATE: FL ZIP: 32204 BUSINESS PHONE: 904-854-8100 MAIL ADDRESS: STREET 1: 601 RIVERSIDE AVENUE CITY: JACKSONVILLE STATE: FL ZIP: 32204 FORMER NAME: FORMER CONFORMED NAME: Fidelity National Title Group, Inc. DATE OF NAME CHANGE: 20050630 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: F&G Annuities & Life, Inc. CENTRAL INDEX KEY: 0001934850 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 852487422 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 801 GRAND AVE, SUITE 2600 CITY: DES MOINES STATE: IA ZIP: 50309 BUSINESS PHONE: 515-330-3340 MAIL ADDRESS: STREET 1: 801 GRAND AVE, SUITE 2600 CITY: DES MOINES STATE: IA ZIP: 50309 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-12-01 0 0001934850 F&G Annuities & Life, Inc. FG 0001331875 Fidelity National Financial, Inc. 601 RIVERSIDE AVENUE JACKSONVILLE FL 32204 0 0 1 0 Common Stock 2022-12-01 4 J 0 18557754 D 105982938 D Common Stock 253246 I See Footnote Common Stock 115630 I See Footnote Common Stock 90432 I See Footnote Reflects the distribution of 19,017,062 shares of common stock of F&G Annuities & Life, Inc. (the "Issuer") held by Fidelity National Financial, Inc. ("FNF") to its shareholders of record at the close of business on November 22, 2022 on a pro rata basis in connection with the spin-off of the Issuer from FNF (the "Spin-off"). Of the 19,017,062 shares distributed, 459,308 were distributed to wholly-owned subsidiaries of FNF, the reporting of which was exempt pursuant to Rule 16a-13 under the Securities Exchange Act of 1934, as amended. Reflects 459,308 shares of Issuer common stock distributed by FNF in the Spin-off to wholly-owned subsidiaries as described herein. Reflects securities held directly by Chicago Title Insurance Company, a wholly-owned subsidiary of FNF. Reflects securities held directly by Fidelity National Title Insurance Company, a wholly-owned subsidiary of FNF. Reflects securities held directly by Commonwealth Land Title Insurance Company, a wholly-owned subsidiary of FNF. /s/ Colleen Haley, as attorney-in-fact 2022-12-05