0001209191-22-059728.txt : 20221205
0001209191-22-059728.hdr.sgml : 20221205
20221205165833
ACCESSION NUMBER: 0001209191-22-059728
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: Ammerman Douglas K
CENTRAL INDEX KEY: 0001335360
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41490
FILM NUMBER: 221445676
MAIL ADDRESS:
STREET 1: 601 RIVERSIDE AVENUE
CITY: JACKSONVILLE
STATE: FL
ZIP: 32204
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
0001335360
Ammerman Douglas K
801 GRAND AVENUE, SUITE 2600
DES MOINES
IA
50309
1
0
0
0
Common Stock
2022-12-01
4
A
0
827
A
8966
D
Common Stock
2022-12-01
4
A
0
9175
0.00
A
18141
D
Represents restricted shares of Issuer common stock received in the spin-off of the Issuer from Fidelity National Financial, Inc. (the "Spin-off") in connection with outstanding restricted stock grants of Fidelity National Financial, Inc. These shares will be subject to the same terms and conditions applicable to such Fidelity National Financial, Inc. restricted stock grant.
Includes shares of Issuer common stock received in the Spin-off with respect to shares of Fidelity National Financial, Inc. common stock held prior to the Spin-off.
Represents a grant of restricted stock that vests in three equal annual installments beginning on December 1, 2023.
/s/ Colleen Haley, as attorney-in-Fact
2022-12-05