SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Gibbar Kristin

(Last) (First) (Middle)
C/O SELECTQUOTE, INC.
6800 WEST 115TH STREET, SUITE 2511

(Street)
OVERLAND PARK KS 66211

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/01/2021
3. Issuer Name and Ticker or Trading Symbol
SelectQuote, Inc. [ SLQT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Human Resources Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $0.01 per share 375 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Options(1) (2) 08/24/2030 Common Stock, par value $0.01 per share 8,805 19.65 D
Restricted Stock Units(3) 08/24/2021(4) (4) Common Stock, par value $0.01 per share 1,651 (5) D
Employee Stock Options(1) (2) 08/01/2031 Common Stock, par value $0.01 per share 12,140 17.8 D
Restricted Stock Units(3) 08/01/2022(4) (4) Common Stock, par value $0.01 per share 3,035 (5) D
Explanation of Responses:
1. Represents non-statutory stock options (NSOs) of SelectQuote, Inc. (the "Company") granted to Ms. Gibbar pursuant to the Company's 2020 Omnibus Incentive Plan (the "Plan"). Each NSO represents the contingent right to purchase one share of the Company's common stock, par value $0.01 per share ("Common Stock"), at a pre-determined price.
2. The option vests in four equal annual installments on each of the first four anniversaries of the grant date, subject to the recipient's continued employment with the Company as of the applicable vesting date.
3. Represents restricted stock units (RSUs) of the Company granted to Ms. Gibbar under the Plan.
4. The RSUs vest in four equal annual installments on each of the first four anniversaries of the grant date, subject to the recipient's continued employment with the Company as of the applicable vesting date. The date indicated above is the first anniversary of the grant date of the respective award.
5. Each RSU represents the contingent right to receive one share of Common Stock.
Remarks:
/s/ Kristin Gibbar 12/09/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.