0001209191-16-155112.txt : 20161214
0001209191-16-155112.hdr.sgml : 20161214
20161214144421
ACCESSION NUMBER: 0001209191-16-155112
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161212
FILED AS OF DATE: 20161214
DATE AS OF CHANGE: 20161214
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: 162050940
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
2016-12-12
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
2016-12-12
4
F
0
593
24.00
D
6239
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.
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 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/ Erica Fine, Attorney-in-fact
2016-12-14