0001209191-17-004392.txt : 20170119
0001209191-17-004392.hdr.sgml : 20170119
20170119144751
ACCESSION NUMBER: 0001209191-17-004392
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170119
DATE AS OF CHANGE: 20170119
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CITIZENS INC
CENTRAL INDEX KEY: 0000024090
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 840755371
STATE OF INCORPORATION: CO
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 400 EAST ANDERSON LANE
CITY: AUSTIN
STATE: TX
ZIP: 78752
BUSINESS PHONE: 5128377100
MAIL ADDRESS:
STREET 1: 400 EAST ANDERSON LANE
CITY: AUSTIN
STATE: TX
ZIP: 78752
FORMER COMPANY:
FORMER CONFORMED NAME: CONTINENTAL INVESTORS LIFE INC
DATE OF NAME CHANGE: 19881222
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JORGENSEN DAVID S
CENTRAL INDEX KEY: 0001659098
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-16509
FILM NUMBER: 17535688
MAIL ADDRESS:
STREET 1: 400 EAST ANDERSON LANE
CITY: AUSTIN
STATE: TX
ZIP: 78752
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2016-12-31
0
0
0
0000024090
CITIZENS INC
CIA
0001659098
JORGENSEN DAVID S
400 EAST ANDERSON LANE
AUSTIN
TX
78752
0
1
0
0
VP, CFO & Treasurer
Citizens, Inc. Class A Common Stock
2016-12-07
5
L
0
102.7849
9.67
A
1548.8451
D
These shares were purchased through the Citizens Stock Investment Plan as part of regular monthly payroll deduction.
/s/David S. Jorgensen
2017-01-19