0000004977-22-000009.txt : 20220207 0000004977-22-000009.hdr.sgml : 20220207 20220207164719 ACCESSION NUMBER: 0000004977-22-000009 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220207 DATE AS OF CHANGE: 20220207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KIRSCH ERIC M CENTRAL INDEX KEY: 0001531975 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07434 FILM NUMBER: 22598183 MAIL ADDRESS: STREET 1: 1932 WYNNTON RD CITY: COLUMBUS STATE: GA ZIP: 31999 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AFLAC INC CENTRAL INDEX KEY: 0000004977 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 581167100 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1932 WYNNTON RD CITY: COLUMBUS STATE: GA ZIP: 31999 BUSINESS PHONE: 7063233431 MAIL ADDRESS: STREET 1: 1932 WYNNTON ROAD CITY: COLUMBUS STATE: GA ZIP: 31999 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN FAMILY CORP DATE OF NAME CHANGE: 19920306 5 1 wf-form5_164427041893557.xml FORM 5 X0306 5 2021-12-31 0 0 0 0000004977 AFLAC INC AFL 0001531975 KIRSCH ERIC M C/O AFLAC INCORPORATED 1932 WYNNTON ROAD COLUMBUS GA 31999 0 1 0 0 Executive Vice President Common Stock 2021-12-30 5 G 0 132000 0 D 64121 D Common Stock 132000 I Spousal trust These shares (the "Trust Shares") were a gift from Eric M. Kirsch to the Eric M. Kirsch Irrevocable Trust Agreement (the "Spousal Trust"). The trustee of the trust is Mr. Kirsch's spouse. The primary beneficiary of the spousal trust is Mr. Kirsch's spouse, and the secondary beneficiaries are his children. Mr. Kirsch disclaims Section 16 beneficial ownership of the Trust Shares, and this report shall not be deemed an admission that he is the beneficial owner of the Trust Shares, except to the extent of his pecuniary interest, if any, therein. By: Brooke R. Phillips For: Eric M. Kirsch 2022-02-07