0001062993-21-009301.txt : 20211006 0001062993-21-009301.hdr.sgml : 20211006 20211006212434 ACCESSION NUMBER: 0001062993-21-009301 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211004 FILED AS OF DATE: 20211006 DATE AS OF CHANGE: 20211006 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chelko Carrie CENTRAL INDEX KEY: 0001884039 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40274 FILM NUMBER: 211310921 MAIL ADDRESS: STREET 1: 1 CORPORATE WAY CITY: LANSING STATE: MI ZIP: 48951 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jackson Financial Inc. CENTRAL INDEX KEY: 0001822993 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 980486152 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1 CORPORATE WAY CITY: LANSING STATE: MI ZIP: 48951 BUSINESS PHONE: 517-381-5500 MAIL ADDRESS: STREET 1: 1 CORPORATE WAY CITY: LANSING STATE: MI ZIP: 48951 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2021-10-04 0001822993 Jackson Financial Inc. JXN 0001884039 Chelko Carrie 1 CORPORATE WAY LANSING MI 48951 0 1 0 0 EVP, GC and Secretary Restricted Share Units 2021-10-04 4 A 0 19128 0.00 A Common Stock 19128 19128 D Restricted Share Units 2021-10-04 4 A 0 12003 0.00 A Common Stock 12003 12003 D Restricted Share Units 2021-10-04 4 A 0 5626 0.00 A Common Stock 5626 5626 D Acquired Jackson Financial Inc. (JFI) Restricted Share Units (RSUs) pursuant to the Jackson Financial Inc. 2021 Omnibus Incentive Plan, which was approved by shareholders on April 21, 2021, as a Sign-on Award in connection with Ms. Chelko's acceptance of employment. The RSUs vest over three years on the following schedule: 6,376 RSUs vest on March 4, 2022, 10,877 RSUs vest on March 4, 2023, and 1,875 RSUs vest on March 4, 2024, subject to Ms. Chelko's continued employment through such dates. Acquired Jackson Financial Inc. (JFI) Restricted Share Units (RSU) and Performance Share Units (PSU) pursuant to the Jackson Financial Inc. 2021 Omnibus Incentive Plan, which was approved by shareholders on April 21, 2021. The JFI 2021 Annual Incentive Awards were approved by JFI's Board of Directors' Compensation Committee on September 20, 2021. The RSUs vest over three years in three installments with the first third vesting on the one-year anniversary of the Grant Date on October 4, 2022, the next third vesting on the two-year anniversary of the Grant Date on October 4, 2023, and the remaining third vesting on April 4, 2024, subject to the Officer's continued employment through such dates. Acquired Jackson Financial Inc. (JFI) Restricted Share Units (RSU) pursuant to the JFI 2021 Omnibus Incentive Plan, which was approved by shareholders on April 21, 2021. The Celebration Award was approved by JFI's Board of Directors' Compensation Committee on September 20, 2021. The RSUs granted under the Celebration Award fully vest on the one-year anniversary of the Grant Date on October 4, 2022, subject to the Officer's continued employment through such date. Each RSU may be paid out in either shares (1 RSU equals 1 share of common stock) or cash equal to the Fair Market Value of one share of JFI common stock. Power of Attorney on file. /s/ Kristan L. Richardson, as Attorney-in-Fact 2021-10-06