SEC Form 4 · accession 0001209191-19-011572
CITIZENS, INC. · CIA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffery P. Conklin
Officer — VP, CAO & Treasurer
Period of report
Feb 15, 2019
Accepted (ET)
Feb 20, 2019 · 4:40 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 | Feb 15, 2019 | M | 4,381 | — | A | 4,381 | D | |
| Citizens, Inc. Class A Common Stock | Feb 15, 2019 | F | 1,299 | $6.94 | D | 3,082 | 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 UnitsF1,F2 | — | Feb 15, 2019 | M | 4,381 | D | — | — | Class A Common Stock | 4,381 | 4,381 | D |
| Restricted Stock UnitsF1,F3 | — | holding | — | — | — | — | — | Class A Common Stock | 26,446 | 26,446 | D |
Explanation of responses
- F1Restricted stock units convert into Citizens, Inc. Class A common stock on a one-for-one basis.
- F2On February 15, 2018, the reporting person was granted an award of restricted stock units, vesting in two equal annual installments on the first anniversary of the date of the grant (February 15, 2019) and the second anniversary of the date of the grant (February 15, 2020).
- F3On January 31, 2019, the reporting person was granted an award of restricted stock units, vesting in two equal annual installments on the first anniversary of the date of the grant (January 31, 2020) and the second anniversary of the date of the grant (January 31, 2021).