0000899243-19-021207.txt : 20190807 0000899243-19-021207.hdr.sgml : 20190807 20190807123341 ACCESSION NUMBER: 0000899243-19-021207 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190807 FILED AS OF DATE: 20190807 DATE AS OF CHANGE: 20190807 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dong Calvin CENTRAL INDEX KEY: 0001783541 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38945 FILM NUMBER: 191004643 MAIL ADDRESS: STREET 1: C/O J.C. FLOWERS & CO. LLC STREET 2: 767 FIFTH AVENUE, 23RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10153 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vericity, Inc. CENTRAL INDEX KEY: 0001575434 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 462348863 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8700 W. BRYN MAWR AVE. STREET 2: SUITE 900S CITY: CHICAGO STATE: IL ZIP: 60631 BUSINESS PHONE: 800-369-3990 MAIL ADDRESS: STREET 1: 8700 W. BRYN MAWR AVE. STREET 2: SUITE 900S CITY: CHICAGO STATE: IL ZIP: 60631 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-08-07 1 0001575434 Vericity, Inc. VERY 0001783541 Dong Calvin 8700 W. BRYN MAWR AVENUE, SUITE 900S CHICAGO IL 60631 1 0 0 0 /s/ John Buchanan, Attorney-in-Fact for Calvin Dong 2019-08-07 EX-24 2 attachment1.htm EX-24 DOCUMENT
                               POWER OF ATTORNEY

       KNOW ALL BY THESE PRESENTS, that I do hereby appoint John Buchanan and
Aryelle Berry, and each of them, as my true and lawful attorneys-in-fact to:

       (1) prepare, execute in my name and on my behalf, and submit to the U.S.
           Securities and Exchange Commission (the "SEC") a Form ID, including
           amendments thereto, and any other documents necessary or appropriate
           to obtain codes and passwords enabling me to make electronic filings
           with the SEC of reports required by Section 16(a) of the Securities
           Exchange Act of 1934 or any rule or regulation of the SEC;

       (2) execute for me and on my behalf, in my capacity as an officer and/or
           director of Vericity, Inc. (the "Company"), Forms 3, 4, and 5 in
           accordance with Section 16(a) of the Securities Exchange Act of 1934,
           as amended, and the rules thereunder;

       (3) do and perform any and all acts for me and on my behalf which may be
           necessary or desirable to complete and execute any such Form 3, 4, or
           5, complete and execute any amendment or amendments thereto, and
           timely file such form with the SEC and any stock exchange or similar
           authority; and

       (4) take any other action of any type whatsoever in connection with the
           foregoing which, in the opinion of such attorneys-in-fact, may be of
           benefit to, in the best interest of, or legally required by, me, it
           being understood that the documents executed by such attorneys-in-
           fact on my behalf pursuant to this Power of Attorney shall be in such
           form and shall contain such terms and conditions as such attorneys-
           in-fact may approve in his or her discretion.

       I hereby grant to such attorneys-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 I might or could do if
personally present, with full power of substitution or revocation, hereby
ratifying and confirming all that such attorneys-in-fact, or such attorneys-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.  I
acknowledge that each of the foregoing attorneys-in-fact, in serving in such
capacity at my request, is not assuming, nor is the Company assuming, any of my
responsibilities to comply with Section 16 of the Securities Exchange Act of
1934.

       This Power of Attorney shall remain in full force and effect until I am
no longer required to file Forms 3, 4, and 5 with respect to my holdings of and
transactions in securities issued by the Company, unless earlier revoked by me
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 31st day of July 2019.



                                              /s/ Calvin Dong
                                              --------------------------
                                              Name: Calvin Dong
                                                    --------------------
                                              Title: Director
                                                     -------------------