James A. Eliasberg - 07 May 2021 Form 4 Insider Report for CITIZENS, INC. (CIA)

Source evidence Original filing metadata and source links for verification. 3 source fields
SEC form
4
Accepted by SEC
11 May 2021, 15:38:53 UTC
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Jeffery P. Conklin, Attorney-in-Fact

Key filing fact

James A. Eliasberg filed Form 4 for CITIZENS, INC. (CIA) on 11 May 2021.

Key facts

  • This page summarizes James A. Eliasberg's Form 4 filing for CITIZENS, INC. (CIA).
  • 6 reported transactions and 2 derivative rows are listed below.
  • Accepted by SEC: 11 May 2021, 15:38.

Change

  • No earlier filing in this sequence is available for direct comparison.
  • Current net transaction value: -$25,513.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

CIA transaction

Citizens, Inc. Class A Common Stock

Options Exercise

Transaction value
Shares
+7,883
Change %
+24%
Price
Shares after
40,929
Date
07 May 2021
Ownership
Direct
Footnotes
F1, F2
CIA transaction

Citizens, Inc. Class A Common Stock

Tax liability

Transaction value
$10,944
Shares
-1,920
Change %
-4.7%
Price
$5.70
Shares after
39,009
Date
07 May 2021
Ownership
Direct
CIA transaction

Citizens, Inc. Class A Common Stock

Options Exercise

Transaction value
Shares
+10,486
Change %
+27%
Price
Shares after
49,495
Date
07 May 2021
Ownership
Direct
Footnotes
F1, F2
CIA transaction

Citizens, Inc. Class A Common Stock

Tax liability

Transaction value
$14,569
Shares
-2,556
Change %
-5.2%
Price
$5.70
Shares after
46,939
Date
07 May 2021
Ownership
Direct

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

CIA transaction Derivative

Restricted Stock Units

Options Exercise

Transaction value
$0
Shares
-10,486
Change %
-100%
Price
$0.000000*
Shares after
0
Date
07 May 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
10,486
Exercise price
Footnotes
F2, F3
CIA transaction Derivative

Restricted Stock Units

Options Exercise

Transaction value
$0
Shares
-7,883
Change %
-100%
Price
$0.000000*
Shares after
0
Date
07 May 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
7,883
Exercise price
Footnotes
F2, F4
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 4 footnotes

Footnote F1

Represents shares of Citizens, Inc. Class A Common Stock issued upon accelerated vesting of Restricted Stock Units (RSUs) pursuant to the terms of the Separation and Release Agreement by and between the Reporting Person and Citizens, Inc. dated April 29, 2021 (the "Separation Agreement").

Footnote F2

Each restricted stock unit represents a contingent right to receive one share of Citizens, Inc. Class A common stock.

Footnote F3

The RSUs were granted on January 29, 2021. The RSUs were scheduled to vest annually at a rate of 1/3 on each anniversary of the grant date. All of the unvested RSUs were accelerated on the Transaction Date pursuant to the terms of the Separation Agreement.

Footnote F4

The RSUs were granted on April 15, 2020. 1/2 of the RSUs previously vested on April 15, 2021 and the remaining 1/2 were scheduled to vest on April 15, 2022. All of the unvested RSUs were accelerated on the Transaction Date pursuant to the terms of the Separation Agreement.

SEC remarks

The Reporting Person resigned from Citizens Inc. effective April 30, 2021. As a result, the Reporting Person is no longer subject to Section 16 in connection with his transactions in the equity securities of Citizens, Inc. and, therefore, will no longer report any such transactions on Form 4 or Form 5.

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