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