SEC Form 4 · accession 0001209191-19-005394
CITIZENS, INC. · CIA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Geoffrey Martin Kolander
Officer — CEO
Period of report
Jan 23, 2019
Accepted (ET)
Jan 25, 2019 · 4:59 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000024090
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Citizens, Inc. Class A Common StockF1 | Jan 23, 2019 | M | 134,409 | — | A | 134,409 | D | |
| Citizens, Inc. Class A Common Stock | Jan 23, 2019 | F | 38,163 | $7.44 | D | 96,246 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF2,F3 | — | Jan 23, 2019 | A | 134,409 | A | — | — | Class A Common Stock | 134,409 | 134,409 | D |
| Restricted Stock UnitsF2,F3 | — | Jan 23, 2019 | M | 134,409 | D | — | — | Class A Common Stock | 134,409 | 0 | D |
| Restricted Stock UnitsF1,F4 | — | holding | — | — | — | — | — | Class A Common Stock | 68,150 | 68,150 | D |
Explanation of responses
- F1Restricted stock units convert into Citizens, Inc. Class A common stock on a one-for-one basis.
- F2Each restricted stock unit represents a contingent right to receive one share of Citizens, Inc. Class A common stock.
- F3Pursuant to the reporting person's employment agreement dated January 23, 2019, the reporting person was granted 134,409 restricted stock units on January 23, 2019 that vest immediately.
- F4Vesting is 50% on the first anniversary of the date of the grant (February 15, 2019, and 50% on the second anniversary of the date of the grant (February 15, 2020)