0001209191-16-091389.txt : 20160114 0001209191-16-091389.hdr.sgml : 20160114 20160114155752 ACCESSION NUMBER: 0001209191-16-091389 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160114 DATE AS OF CHANGE: 20160114 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CITIZENS INC CENTRAL INDEX KEY: 0000024090 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 840755371 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 EAST ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752 BUSINESS PHONE: 5128377100 MAIL ADDRESS: STREET 1: 400 EAST ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752 FORMER COMPANY: FORMER CONFORMED NAME: CONTINENTAL INVESTORS LIFE INC DATE OF NAME CHANGE: 19881222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JORGENSEN DAVID S CENTRAL INDEX KEY: 0001659098 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16509 FILM NUMBER: 161343004 MAIL ADDRESS: STREET 1: 400 EAST ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2015-12-31 0 0 0 0000024090 CITIZENS INC CIA 0001659098 JORGENSEN DAVID S 400 EAST ANDERSON LANE AUSTIN TX 78752 0 1 0 0 VP, CFO & Treasurer Citizens, Inc. Class A Common Stock 2015-12-02 5 L 0 53.1055 9.38 A 53.1055 D These shares were purchased through the Citizens Stock Investment Plan as part of regular monthly payroll deduction. /s/David S. Jorgensen 2016-01-14