0001209191-13-009422.txt : 20130219
0001209191-13-009422.hdr.sgml : 20130219
20130215170327
ACCESSION NUMBER: 0001209191-13-009422
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130215
FILED AS OF DATE: 20130215
DATE AS OF CHANGE: 20130215
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ZILBERMAN DANIEL
CENTRAL INDEX KEY: 0001487622
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34680
FILM NUMBER: 13620444
MAIL ADDRESS:
STREET 1: C/O WARBURG PINCUS LLC
STREET 2: 450 LEXINGTON AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10017
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Primerica, Inc.
CENTRAL INDEX KEY: 0001475922
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 271204330
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3120 BRECKINRIDGE BLVD.
CITY: DULUTH
STATE: GA
ZIP: 30099
BUSINESS PHONE: 7703811000
MAIL ADDRESS:
STREET 1: 3120 BRECKINRIDGE BLVD.
CITY: DULUTH
STATE: GA
ZIP: 30099
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2013-02-15
0
0001475922
Primerica, Inc.
PRI
0001487622
ZILBERMAN DANIEL
C/O WARBURG PINCUS LLC
450 LEXINGTON AVENUE
NEW YORK
NY
10017
1
0
0
0
Common Stock, par value $0.01
2013-02-15
4
S
0
2500000
32.66
D
2488621
I
See Footnotes 1,2,3 and 4
Warburg Pincus Private Equity X, L.P., a Delaware limited partnership, and Warburg Pincus X Partners, L.P., a Delaware limited partnership (together, "WP X") is the holder of 2,488,621 shares of common stock, $0.01 par value ("Common Stock"), of Primerica, Inc., a Delaware corporation (the "Issuer") and the warrants exercisable for 4,103,110 shares of common stock (the "Warrants") of the Issuer. Warburg Pincus X, L.P., a Delaware limited partnership ("WP X LP"), is the general partner of WP X; Warburg Pincus X LLC, a Delaware limited liability company ("WP X LLC"), is the general partner of WP X LP; Warburg Pincus Partners LLC, a New York limited liability company ("WP Partners"), is the sole member of WP X LLC; Warburg Pincus & Co., a New York general partnership ("WP"), is the managing member of WP Partners; Warburg Pincus LLC, a New York limited liability company ("WP LLC"), manages WP X;
(continues footnote 1) and Messrs. Charles R. Kaye and Joseph P. Landy are each a Managing General Partner of WP and Managing Member and Co-President of WP LLC, and may be deemed to control WP X, WP X LP, WP X LLC, WP Partners, WP and WP LLC.
By reason of the provisions of Rule 16a-1 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), as Partner of WP and a Member and Managing Director of WP LLC, Mr. Zilberman may be deemed to be the beneficial owner of the Common Stock and the Warrants of the Issuer held by WP X.
Pursuant to Rule 16a-1(a)(4) of the Exchange Act, Mr. Zilberman herein states that this filing shall not be deemed an admission that he is the beneficial owner of any of such shares of Common Stock or the Warrants covered by this Statement. Mr. Zilberman disclaims beneficial ownership of such Common Stock and the Warrants of the Issuer, except to the extent of his pecuniary interest in such shares of Common Stock or such Warrants.
/s/ Daniel Zilberman
2013-02-15