0001174947-18-001478.txt : 20181212
0001174947-18-001478.hdr.sgml : 20181212
20181212155156
ACCESSION NUMBER: 0001174947-18-001478
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181211
FILED AS OF DATE: 20181212
DATE AS OF CHANGE: 20181212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Raaum Anders
CENTRAL INDEX KEY: 0001759622
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38718
FILM NUMBER: 181230915
MAIL ADDRESS:
STREET 1: 3750 WEST DEERFIELD ROAD
CITY: RIVERWOODS
STATE: IL
ZIP: 60015
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Federal Life Group, Inc.
CENTRAL INDEX KEY: 0001743886
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 824944172
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3750 DEERFIELD ROAD
CITY: RIVERWOODS
STATE: IL
ZIP: 60015
BUSINESS PHONE: (847) 520-1900
MAIL ADDRESS:
STREET 1: 3750 DEERFIELD ROAD
CITY: RIVERWOODS
STATE: IL
ZIP: 60015
3
1
c509024_form3.xml
FORM 3
X0206
3
2018-12-11
0
0001743886
Federal Life Group, Inc.
FLF
0001759622
Raaum Anders
3750 WEST DEERFIELD ROAD
RIVERWOODS
IL
60015
0
1
0
0
Chief Financial Officer
Common Stock
28667
D
Stock options
10.00
2019-12-10
2028-12-10
Common stock
35000
D
Includes 11,667 shares of restricted common stock that vest 25% per year commencing December 10, 2019.
Options vest 25% per year commencing December 10, 2019.
/s/ Anders Raaum
2018-12-11