0001013762-23-002220.txt : 20231005 0001013762-23-002220.hdr.sgml : 20231005 20231005165702 ACCESSION NUMBER: 0001013762-23-002220 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231003 FILED AS OF DATE: 20231005 DATE AS OF CHANGE: 20231005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WHITE MARK BRIAN CENTRAL INDEX KEY: 0001564335 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39783 FILM NUMBER: 231312044 MAIL ADDRESS: STREET 1: IMMEUBLE MILA CITY: CHAMPERY STATE: V8 ZIP: 1874 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FOXO TECHNOLOGIES INC. CENTRAL INDEX KEY: 0001812360 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731] IRS NUMBER: 851050265 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 729 WASHINGTON AVE. N STREET 2: SUITE 600 CITY: MINNEAPOLIS STATE: MN ZIP: 55401 BUSINESS PHONE: (612) 562-9447 MAIL ADDRESS: STREET 1: 729 WASHINGTON AVE. N STREET 2: SUITE 600 CITY: MINNEAPOLIS STATE: MN ZIP: 55401 FORMER COMPANY: FORMER CONFORMED NAME: Delwinds Insurance Acquisition Corp. DATE OF NAME CHANGE: 20200518 4 1 ownership.xml X0508 4 2023-10-03 0 0001812360 FOXO TECHNOLOGIES INC. FOXO 0001564335 WHITE MARK BRIAN 729 N. WASHINGTON AVE., SUITE 600 MINNEAPOLIS MN 55401 1 1 0 0 Interim CEO 0 Class A Common Stock 2023-10-03 4 A 0 2500000 A 2500000 D As compensation for services rendered and to be rendered as an officer and director of the issuer, the reporting person was granted Class A Common Stock under the FOXO Technologies Inc. 2022 Equity Incentive Plan. /s/ Mark Brian White 2023-10-05