0001062993-23-007857.txt : 20230328 0001062993-23-007857.hdr.sgml : 20230328 20230328085326 ACCESSION NUMBER: 0001062993-23-007857 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220202 FILED AS OF DATE: 20230328 DATE AS OF CHANGE: 20230328 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Prieskorn Laura Louene CENTRAL INDEX KEY: 0001856349 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40274 FILM NUMBER: 23766352 MAIL ADDRESS: STREET 1: C/O JACKSON FINANCIAL INC. STREET 2: 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 X0407 4 2022-02-02 0001822993 Jackson Financial Inc. JXN 0001856349 Prieskorn Laura Louene 1 CORPORATE WAY LANSING MI 48951 1 1 0 0 CEO, President and Director 0 Common Stock 2022-02-02 4 M 0 11479.75 0.00 A 364426.60 D Common Stock 2022-04-02 4 D 0 11479.75 43.21 D 352946.85 D Restricted Share Units 2022-02-02 4 A 0 11479.75 0.00 A Common Stock 11479.75 45328.95 D Restricted Share Units 2022-04-02 4 M 0 11479.75 43.21 D Common Stock 11479.75 33849.20 D Reflects the acquisition of cash-settled units earned based on achievement of performance metrics of the 48,373 Jackson Financial Inc. Performance Share Units ("PSUs"), which were converted from the 2019 PLTIP PSUs on October 4, 2021. All of the earned units vested on April 2, 2022. The previously filed Form 4 failed to report the acquisition of the cash-settled earned units, and reported the acquisition of only the 75% of share-settled earned units. Reflects the cash settlement of 25% of the converted units that were earned on February 2, 2022, and vested on April 2, 2022. The reported number, 11,479.75, does not reflect the total of (a) the number of earned "restricted share units" settled in cash, and (b) dividend equivalents from December 2021 and March 2022, all of which vested on April 2, 2022. On March 24, 2022, we erroneously over-reported 141.50 dividend equivalents distributed on the earned 34,437.26 "restricted share units" (75% settled in shares) in Table I that should have been reported on the same date but in Table II on the earned 11,479.75 "restricted share units" (25% settled in cash). Despite the incorrect reporting in Table I, upon vesting, the 141.50 dividend equivalents settled in cash, not shares. Power of Attorney on file. /s/ Kristan L. Richardson, as Attorney-in-Fact 2023-03-28