0001174947-18-001483.txt : 20181212 0001174947-18-001483.hdr.sgml : 20181212 20181212160014 ACCESSION NUMBER: 0001174947-18-001483 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: Ebersberger Wayne R. CENTRAL INDEX KEY: 0001760618 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38718 FILM NUMBER: 181230944 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 c509029_form3.xml FORM 3 X0206 3 2018-12-11 0 0001743886 Federal Life Group, Inc. FLF 0001760618 Ebersberger Wayne R. 3750 WEST DEERFIELD ROAD RIVERWOODS IL 60015 1 0 0 0 Common Stock 5000 D Stock Options 10.00 2019-12-10 2028-12-10 Common stock 11667 D Options vest 25% per year commencing December 10, 2019. /s/ Wayne R. Ebersberger 2018-12-11