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