0001209191-22-029206.txt : 20220516 0001209191-22-029206.hdr.sgml : 20220516 20220516170233 ACCESSION NUMBER: 0001209191-22-029206 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220513 FILED AS OF DATE: 20220516 DATE AS OF CHANGE: 20220516 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACKSON LAWRENCE V CENTRAL INDEX KEY: 0001204543 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31978 FILM NUMBER: 22930600 MAIL ADDRESS: STREET 1: C/O ASSURANT, INC., 28 LIBERTY ST., 41 F CITY: NEW YORK STATE: NY ZIP: 10005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ASSURANT, INC. CENTRAL INDEX KEY: 0001267238 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE CARRIERS, NEC [6399] IRS NUMBER: 391126612 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 55 BROADWAY STREET 2: SUITE 2901 CITY: NEW YORK STATE: NY ZIP: 10006 BUSINESS PHONE: 212-859-7000 MAIL ADDRESS: STREET 1: 55 BROADWAY STREET 2: SUITE 2901 CITY: NEW YORK STATE: NY ZIP: 10006 FORMER COMPANY: FORMER CONFORMED NAME: ASSURANT INC DATE OF NAME CHANGE: 20031016 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-05-13 0 0001267238 ASSURANT, INC. AIZ 0001204543 JACKSON LAWRENCE V C/O ASSURANT, INC. 55 BROADWAY, SUITE 2901 NEW YORK NY 10006 1 0 0 0 Common Stock 2022-05-13 4 A 0 881 0.00 A 23738 D These shares are represented by restricted stock units. Includes restricted stock units. Lisa Richter, Attorney-in-Fact 2022-05-16 EX-24 2 poa.txt POA DOCUMENT SUBSTITUTE POWER OF ATTORNEY Under the terms of a power of attorney, dated July 1, 2016 (the "Power of Attorney") the undersigned, Lisa Richter and Mariana Wisk, were appointed attorneys-in-fact for Lawrence V. Jackson (the "Section 16 Reporting Person"), signing singly, to: (1) execute for and on behalf of the Section 16 Reporting Person, in their capacity as an officer, director and/or 10% shareholder of Assurant, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder; (2) do and perform any and all acts for and on behalf of the Section 16 Reporting Person which may be necessary or desirable to complete and execute any such Form 3, 4, or 5 and timely file such form with the Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the Section 16 Reporting Person, it being understood that the documents executed by such attorney-in-fact on behalf of the Section 16 Reporting Person pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. In accordance with the authority granted under the Power of Attorney, including the power of substitution, the undersigned hereby appoints Nora Mulrooney as a substitute attorney-in-fact, on behalf of the Section 16 Reporting Person, with the power to act without any other and with full power of substitution, to exercise and execute all of the powers granted or conferred in the original Power of Attorney. Date: June 5, 2019 By: /s/ Lisa Richter ________________________________________ Name: Lisa Richter Title: Attorney-in-Fact By: /s/ Mariana Wisk ________________________________________ Name: Mariana Wisk Title: Attorney-in-Fact