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*
Clement Ryan Moore

(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)
06/01/2022
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)
See Remarks
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)
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
Restricted Stock Units(1) (2) 03/01/2032 Common Stock, par value $0.01 per share 24,938 0.0 D
Employee Stock Options(3) (4) 03/01/2032 Common Stock, par value $0.01 per share 88,834 2.8 D
Explanation of Responses:
1. Represents restricted stock units of SelectQuote, Inc. (the "Company") granted to Mr. Clement under the Company's 2020 Omnibus Incentive Plan (the "Plan"). Each RSU represents the contingent right to receive one share of the Company's common stock, par value $0.01 per share.
2. The RSUs vest ratably in four annual installments commencing on the one-year anniversary of the grant date, subject to the reporting person's continued employment with the Company as of the applicable vesting date.
3. Represents non-qualified stock options of the Company granted to Mr. Clement pursuant to the Plan.
4. The option vests ratably in four annual installments commencing on the one-year anniversary of the grant date, subject to the reporting person's continued employment with the Company as of the applicable vesting date.
Remarks:
Interim Chief Financial Officer Exhibit 24 - Power of Attorney
/s/ Daniel A. Boulware, Attorney-in-Fact 06/10/2022
** 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.