0001209191-16-153454.txt : 20161205
0001209191-16-153454.hdr.sgml : 20161205
20161205173300
ACCESSION NUMBER: 0001209191-16-153454
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161201
FILED AS OF DATE: 20161205
DATE AS OF CHANGE: 20161205
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: Krishnan Rajesh
CENTRAL INDEX KEY: 0001591454
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36227
FILM NUMBER: 162034668
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
2016-12-01
0
0001585064
Fidelity & Guaranty Life
FGL
0001591454
Krishnan Rajesh
TWO RUAN CENTER
601 LOCUST STREET, 14TH FLOOR
DES MOINES
IA
50309
0
1
0
0
EVP and CIO
Common Stock
2016-12-01
4
F
0
1008
23.35
D
11705
D
Stock Option (right to buy)
49.45
2019-12-31
Common Stock
2565
D
Stock Option (right to buy)
24.87
2021-12-01
Common Stock
5148
5148
D
Stock Option (right to buy)
17.00
2020-12-12
Common Stock
14142
14142
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 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 2,565 shares on December 31, 2013, 2,565 shares on December 31, 2014, and 2,565 shares 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/ Erica Fine, Attorney-in-fact
2016-12-05