0001209191-15-085218.txt : 20151215 0001209191-15-085218.hdr.sgml : 20151215 20151215140655 ACCESSION NUMBER: 0001209191-15-085218 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151212 FILED AS OF DATE: 20151215 DATE AS OF CHANGE: 20151215 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: Boehm Rosanne CENTRAL INDEX KEY: 0001591155 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36227 FILM NUMBER: 151288108 MAIL ADDRESS: STREET 1: TWO RUAN CENTER STREET 2: 601 LOCUST STREET CITY: DES MOINES STATE: IA ZIP: 50309 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-12-12 0 0001585064 Fidelity & Guaranty Life FGL 0001591155 Boehm Rosanne TWO RUAN CENTER 601 LOCUST STREET, 14TH FLOOR DES MOINES IA 50309 0 1 0 0 SVP, Human Resources Common Stock 2015-12-12 4 F 0 676 25.78 D 7237 D Restricted Stock Unit Common Stock 567 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 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. Each restricted stock unit is the economic equivalent of one share of Class B Common Stock of Fidelity & Guaranty Life Holdings, Inc., a wholly-owned subsidiary of the Issuer (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 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 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 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, 1,285 shares on December 31, 2014, and will become exercisable as to 1,286 shares 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 2015-12-15