0001209191-19-018830.txt : 20190312
0001209191-19-018830.hdr.sgml : 20190312
20190312164453
ACCESSION NUMBER: 0001209191-19-018830
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20190309
FILED AS OF DATE: 20190312
DATE AS OF CHANGE: 20190312
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mergelmeyer Gene
CENTRAL INDEX KEY: 0001407462
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31978
FILM NUMBER: 19675604
MAIL ADDRESS:
STREET 1: ASSURANT, INC.
STREET 2: ONE CHASE MANHATTAN PLAZA, 41ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10005
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ASSURANT INC
CENTRAL INDEX KEY: 0001267238
STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321]
IRS NUMBER: 391126612
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 28 LIBERTY STREET
STREET 2: 41ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10005
BUSINESS PHONE: 212-859-7000
MAIL ADDRESS:
STREET 1: 28 LIBERTY STREET
STREET 2: 41ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10005
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-03-09
0
0001267238
ASSURANT INC
AIZ
0001407462
Mergelmeyer Gene
ASSURANT, INC.
28 LIBERTY STREET, 41 FL.
NEW YORK
NY
10005
0
1
0
0
EVP, COO
Common Stock
2019-03-09
4
F
0
613
99.96
D
108256
D
Common Stock
2019-03-10
4
F
0
601
99.96
D
107655
D
Common Stock
2019-03-10
4
A
0
12347
0.00
A
120002
D
Common Stock
2019-03-10
4
F
0
5151
99.96
D
114851
D
Represents the number of shares issued upon vesting of performance share units ("PSUs") based on the relative performance achieved during the 2016-2018 performance cycle.
Represents shares withheld to satisfy withholding obligations upon the March 10, 2019 PSU vesting.
Includes restricted stock units.
Lisa Richter, Attorney-in-Fact
2019-03-12
EX-24.4_841853
2
poa.txt
POA DOCUMENT
SECTION 16
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and
appoints Lisa Richter, Paulette Lang, and Mariana Wisk, or any of them, signing
singly, the undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's 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 undersigned 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 undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned 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.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 1st day of July, 2016.
/s/ Gene Mergelmeyer