SEC Form 4 · accession 0001668428-18-000112

FGL Holdings · FG

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Oct 4, 2018

Accepted (ET)

Oct 9, 2018 · 4:16 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001668428

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Ordinary Shares^F1,F2	Oct 4, 2018	A	1,052,333	—	A	14,892,723	I	By CC Capital
Ordinary Shares	holding	—	—		—	12,488	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Private Placement Warrants^F1,F2	$11.50	Oct 4, 2018	D	9,566,667	D	Dec 30, 2017	Nov 30, 2022	Ordinary Shares	9,566,667	0	I

F1Pursuant to the terms of the Issuer's tender offer, as described in the Issuer's Tender Offer Statement on Schedule TO, as amended, filed with the Securities and Exchange Commission on September 6, 2018, CC Capital Management LLC ("CC Capital Management"), of which the Reporting Person is the managing member, tendered 9,566,667 warrants in exchange for 0.11 of the Issuer's ordinary shares and $0.98 in cash, without interest, per warrant. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
F2Represents Ordinary Shares and Private Placement Warrants held by CC Capital Management. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.