0001181431-13-063772.txt : 20131219 0001181431-13-063772.hdr.sgml : 20131219 20131219163343 ACCESSION NUMBER: 0001181431-13-063772 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131218 FILED AS OF DATE: 20131219 DATE AS OF CHANGE: 20131219 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fidelity & Guaranty Life CENTRAL INDEX KEY: 0001585064 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 463489149 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1001 FLEET STREET STREET 2: 6TH FL CITY: BALTIMORE STATE: MD ZIP: 21202 BUSINESS PHONE: 410-895-0100 MAIL ADDRESS: STREET 1: 1001 FLEET STREET STREET 2: 6TH FL CITY: BALTIMORE STATE: MD ZIP: 21202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cheliotis Kostas CENTRAL INDEX KEY: 0001591635 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36227 FILM NUMBER: 131288666 MAIL ADDRESS: STREET 1: C/O FIDELITY & GUARANTY LIFE STREET 2: 1001 FLEET STREET, 6TH FL CITY: BALTIMORE STATE: MD ZIP: 21202 4 1 rrd397483.xml FORM 4 X0306 4 2013-12-18 0 0001585064 Fidelity & Guaranty Life FGL 0001591635 Cheliotis Kostas 1001 FLEET STREET, 6TH FLOOR BALTIMORE MD 21202 1 0 0 0 Common Stock 2013-12-18 4 A 0 3750 0 A 3750 D Common Stock 2013-12-18 4 P 0 5000 17.00 A 8750 D Common Stock 2013-12-18 4 A 0 12025 A 20775 D Employee Stock Option (right to buy) 17.00 2013-12-18 4 A 0 3408 0 A 2020-12-12 Common Stock 3408 3408 D Grant of restricted stock. Includes restricted stock. 5.411 shares of unrestricted common stock issued at the election of the reporting person in lieu of $75,000 cash director retainer and 6,614 additional shares of unrestricted common stock to offset the taxes associated with the receipt of such shares. The option vests in three equal annual installments on December 12, 2014, 2015 and 2016, subject to continued service through such date. /s/ Rebecca Hemmings, as Attorney-in-Fact for Kostas Cheliotis 2013-12-19