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