0001209191-21-006664.txt : 20210202
0001209191-21-006664.hdr.sgml : 20210202
20210202125110
ACCESSION NUMBER: 0001209191-21-006664
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210129
FILED AS OF DATE: 20210202
DATE AS OF CHANGE: 20210202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Waite Harvey J.
CENTRAL INDEX KEY: 0001769892
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-16509
FILM NUMBER: 21579927
MAIL ADDRESS:
STREET 1: 2900 ESPERANZA CROSSING, 2ND FLOOR
CITY: AUSTIN
STATE: TX
ZIP: 78758
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CITIZENS, INC.
CENTRAL INDEX KEY: 0000024090
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 840755371
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11815 ALTERRA PKWY
STREET 2: SUITE 1500
CITY: AUSTIN
STATE: TX
ZIP: 78758
BUSINESS PHONE: 5128377100
MAIL ADDRESS:
STREET 1: P O BOX 149151
CITY: AUSTIN
STATE: TX
ZIP: 78714
FORMER COMPANY:
FORMER CONFORMED NAME: CITIZENS INC
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: CONTINENTAL INVESTORS LIFE INC
DATE OF NAME CHANGE: 19881222
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-29
0
0000024090
CITIZENS, INC.
CIA
0001769892
Waite Harvey J.
11815 ALTERRA PARKWAY, SUITE 1500
AUSTIN
TX
78758
0
1
0
0
VP, Chief Actuary
Restricted Stock Units
2021-01-29
4
A
0
8093
0.00
A
Class A Common Stock
8093
8093
D
Each restricted stock unit represents a contingent right to receive one share of Citizens, Inc. Class A common stock.
Vesting is 1/3 on the first anniversary of the date of the grant (January 29, 2022), 1/3 on the second anniversary of the date of the grant (January 29, 2023) and 1/3 on the third anniversary of the date of the grant (January 29, 2024).
Exhibit List
Exhibit 24 - Power of Attorney
/s/ Jane E. Magnuson, Attorney-in-Fact
2021-02-02
EX-24.4_959005
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints
each of Jeffery P. Conklin, James A. Eliasberg and Jane E. Magnuson, or either
of them signing singly, and with full power of substitution, the undersigned's
true and lawful attorney-in-fact to:
(1) prepare, execute in the undersigned's name and on the undersigned's behalf,
and submit to the U.S. Securities and Exchange Commission (the SEC) a Form ID,
including amendments thereto, and any other documents necessary or appropriate
to obtain codes and passwords enabling the undersigned to make electronic
filings with the SEC of reports required by Section 16(a) of the Securities
Exchange Act of 1934 or any rule or regulation of the SEC;
(2 execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Citizens, Inc. (the Company), Forms 3, 4, and 5
in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the
rules thereunder;
(3) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the SEC and any stock exchange or similar authority; and
(4) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys in fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys in fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 1st day of April, 2020.
/s/ Harvey J. L. Waite
Signature
Harvey J. L. Waite
Print Name
April 1, 2020