0001181431-14-038989.txt : 20141216
0001181431-14-038989.hdr.sgml : 20141216
20141216171848
ACCESSION NUMBER: 0001181431-14-038989
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141212
FILED AS OF DATE: 20141216
DATE AS OF CHANGE: 20141216
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fidelity & Guaranty Life
CENTRAL INDEX KEY: 0001585064
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 463489149
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 1001 FLEET STREET
STREET 2: 6TH FL
CITY: BALTIMORE
STATE: MD
ZIP: 21202
BUSINESS PHONE: 410-895-0100
MAIL ADDRESS:
STREET 1: 1001 FLEET STREET
STREET 2: 6TH FL
CITY: BALTIMORE
STATE: MD
ZIP: 21202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boehm Rosanne
CENTRAL INDEX KEY: 0001591155
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36227
FILM NUMBER: 141290410
MAIL ADDRESS:
STREET 1: C/O FIDELITY & GUARANTY LIFE
STREET 2: 1001 FLEET STREET, 6TH FL
CITY: BALTIMORE
STATE: MD
ZIP: 21202
4
1
rrd420384.xml
FORM 4 - RB
X0306
4
2014-12-12
0
0001585064
Fidelity & Guaranty Life
FGL
0001591155
Boehm Rosanne
1001 FLEET STREET, 6TH FLOOR
BALTIMORE
MD
21202
0
1
0
0
SVP, Human Resources
Common Stock
2014-12-12
4
F
0
593
24.66
D
8375
D
Stock Option (right to buy)
24.87
2021-12-01
Common Stock
2940
2940
D
Stock Option (right to buy)
38.14
2018-11-02
Common Stock
2040
D
Stock Option (right to buy)
49.45
2019-12-31
Common Stock
3857
D
Restricted Stock Unit
Common Stock
1135
D
Stock Option (right to buy)
17.00
2020-12-12
Common Stock
4545
4545
D
Represents the withholding by the Issuer of restricted stock to satisfy the reporting person's tax withholding obligations upon the vesting of restricted stock, which has been approved pursuant to the requirements of Rule 16b-3.
Includes restricted stock.
The option vests in three equal annual installments on December 1, 2015, 2016 and 2017, subject to continued employment through such date.
The option entitles the reporting person to receive, upon exercise, a cash payment equal to the excess of the fair market value of a share of Class A Common Stock of Fidelity & Guaranty Life Holdings, Inc., a wholly owned subsidiary of the Issuer (the "F&G Subsidiary"), over the exercise price of the option. It is expected that the fair market value of a share of Class A Common Stock of the F&G Subsidiary will be derived from the value of the Common Stock of the Issuer. The option became exercisable as to 1,013 shares on November 2, 2012, 1,014 shares on November 2, 2013, and 1,013 shares on November 2, 2014.
The option entitles the reporting person to receive, upon exercise, a cash payment equal to the excess of the fair market value of a share of Class B Common Stock of the F&G Subsidiary over the exercise price of the option. It is expected that the fair market value of a share of Class B Common Stock of the F&G Subsidiary will be derived from the value of the Common Stock of the Issuer. The option became exercisable as to 1,286 shares on December 31, 2013 and will become exercisable as to 1,285 shares on December 31, 2014 and 1,286 shares on December 31, 2015.
Each restricted stock unit is the economic equivalent of one share of Class B Common Stock of the F&G Subsidiary. Each restricted stock unit will be settled upon vesting in cash in an amount equal to the fair market value of a share of Class B Common Stock of the F&G Subsidiary. It is expected that the fair market value of a share of Class B Common Stock of the F&G Subsidiary will be derived from the value of the Common Stock of the Issuer. 568 restricted stock units will vest on December 31, 2014 and 567 restricted stock units will vest on December 31, 2015.
The option vests in three equal annual installments on December 12, 2014, 2015 and 2016, subject to continued employment through such date.
/s/ Isabelle Aragon, Attorney-in-fact
2014-12-16