Bloom Retirement Holdings Inc. - Dec 29, 2023 Form 4 Insider Report for Finance of America Companies Inc. (FOA)

Role
10%+ Owner
Signature
Bloom Retirement Holdings Inc., By: /s/ Reza Jahangiri, its majority shareholder
Stock symbol
FOA
Transactions as of
Dec 29, 2023
Transactions value $
$0
Form type
4
Date filed
1/3/2024, 04:30 PM
Previous filing
Apr 10, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction FOA Class A Common Stock Conversion of derivative security +8M 8M Dec 29, 2023 See footnote F1, F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction FOA FOAEC Units Conversion of derivative security $0 -8M -23.6% $0.00 25.9M Dec 29, 2023 Class A Common Stock 8M See footnote F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each limited liability company unit of Finance of America Equity Capital LLC (the "FOAEC Unit") is exchangeable for one share of Class A Common Stock of the Issuer at the option of the holder. The FOAEC Units do not expire.
F2 Bloom Retirement Holdings Inc. is the record holder of the securities reported herein. Reza Jahangiri is the majority shareholder of Bloom Retirement Holdings Inc. As such, Mr. Jahangiri may be deemed to share voting and dispositive power over the securities held by Bloom Retirement Holdings Inc.