0001209191-21-031585.txt : 20210511
0001209191-21-031585.hdr.sgml : 20210511
20210511153853
ACCESSION NUMBER: 0001209191-21-031585
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210507
FILED AS OF DATE: 20210511
DATE AS OF CHANGE: 20210511
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Eliasberg James A.
CENTRAL INDEX KEY: 0001497157
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-16509
FILM NUMBER: 21911074
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
2021-05-07
0
0000024090
CITIZENS, INC.
CIA
0001497157
Eliasberg James A.
C/O CITIZENS, INC.
11815 ALTERRA PARKWAY, SUITE 1500
AUSTIN
TX
78758
0
1
0
0
Former VP, Chief Legal Officer
Citizens, Inc. Class A Common Stock
2021-05-07
4
M
0
7883
A
40929
D
Citizens, Inc. Class A Common Stock
2021-05-07
4
F
0
1920
5.70
D
39009
D
Citizens, Inc. Class A Common Stock
2021-05-07
4
M
0
10486
A
49495
D
Citizens, Inc. Class A Common Stock
2021-05-07
4
F
0
2556
5.70
D
46939
D
Restricted Stock Units
2021-05-07
4
M
0
10486
0.00
D
Class A Common Stock
10486
0
D
Restricted Stock Units
2021-05-07
4
M
0
7883
0.00
D
Class A Common Stock
7883
0
D
Represents shares of Citizens, Inc. Class A Common Stock issued upon accelerated vesting of Restricted Stock Units (RSUs) pursuant to the terms of the Separation and Release Agreement by and between the Reporting Person and Citizens, Inc. dated April 29, 2021 (the "Separation Agreement").
Each restricted stock unit represents a contingent right to receive one share of Citizens, Inc. Class A common stock.
The RSUs were granted on January 29, 2021. The RSUs were scheduled to vest annually at a rate of 1/3 on each anniversary of the grant date. All of the unvested RSUs were accelerated on the Transaction Date pursuant to the terms of the Separation Agreement.
The RSUs were granted on April 15, 2020. 1/2 of the RSUs previously vested on April 15, 2021 and the remaining 1/2 were scheduled to vest on April 15, 2022. All of the unvested RSUs were accelerated on the Transaction Date pursuant to the terms of the Separation Agreement.
The Reporting Person resigned from Citizens Inc. effective April 30, 2021. As a result, the Reporting Person is no longer subject to Section 16 in connection with his transactions in the equity securities of Citizens, Inc. and, therefore, will no longer report any such transactions on Form 4 or Form 5.
/s/ Jeffery P. Conklin, Attorney-in-Fact
2021-05-11