0001209191-15-083261.txt : 20151203 0001209191-15-083261.hdr.sgml : 20151203 20151203165121 ACCESSION NUMBER: 0001209191-15-083261 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151201 FILED AS OF DATE: 20151203 DATE AS OF CHANGE: 20151203 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: TWO RUAN CENTER STREET 2: 601 LOCUST STREET, 14TH FLOOR CITY: DES MOINES STATE: IA ZIP: 50309 BUSINESS PHONE: 800-445-6758 MAIL ADDRESS: STREET 1: TWO RUAN CENTER STREET 2: 601 LOCUST STREET, 14TH FLOOR CITY: DES MOINES STATE: IA ZIP: 50309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: O'Shaughnessy John P. CENTRAL INDEX KEY: 0001591225 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36227 FILM NUMBER: 151267908 MAIL ADDRESS: STREET 1: TWO RUAN CENTER STREET 2: 601 LOCUST STREET, 14TH FLOOR CITY: DES MOINES STATE: IA ZIP: 50309 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-12-01 0 0001585064 Fidelity & Guaranty Life FGL 0001591225 O'Shaughnessy John P. TWO RUAN CENTER 601 LOCUST STREET, 14TH FLOOR DES MOINES IA 50309 0 1 0 0 SVP and Chief Actuary Common Stock 2015-12-01 4 F 0 527 25.68 D 9646 D Stock Option (right to buy) 49.45 2019-12-31 Common Stock 2110 D Restricted Stock Unit Common Stock 931 D Stock Option (right to buy) 24.87 2021-12-01 Common Stock 3825 3825 D Stock Option (right to buy) 17.00 2020-12-12 Common Stock 5910 5910 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 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 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 2,110 shares on December 31, 2013, 2,111 shares on December 31, 2014, and will become exercisable as to 2,110 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 one 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. The remaining restricted stock units will vest on December 31, 2015. The option vests in three equal annual installments on December 1, 2015, 2016 and 2017, subject to continued employment through such date. 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 2015-12-03