VP, Operations Lewis Bryon Matthew converted options into 2,625 units of Citizens and covered exercise/tax liability with 616 units of Citizens, increasing direct ownership by 63% to 5,676 units (SEC Form 4)
$CIA
Life Insurance
Finance
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
| Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
CITIZENS, INC. [ CIA ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 08/02/2024 | ||||||||||||||||||||||||||
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4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Citizens, Inc. Class A Common Stock | 08/02/2024 | L(1) | 184.9987 | A | $2.67 | 3,666.8073 | D | |||
| Citizens, Inc. Class A Common Stock | 08/15/2024 | M | 2,625 | A | (2) | 6,291.8073 | D | |||
| Citizens, Inc. Class A Common Stock | 08/15/2024 | F | 616 | D | $2.8 | 5,675.8073 | D | |||
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Restricted Stock Units | (2) | 08/15/2024 | M | 2,625 | (3) | (3) | Class A Common Stock | 2,625 | $0 | 5,251 | D | ||||
| Restricted Stock Units | (2) | (4) | (4) | Class A Common Stock | 1,032 | 1,032 | D | ||||||||
| Restricted Stock Units | (2) | (5) | (5) | Class A Common Stock | 1,278 | 1,278 | D | ||||||||
| Restricted Stock Units | (2) | (6) | (6) | Class A Common Stock | 7,763 | 7,763 | D | ||||||||
| Restricted Stock Units | (2) | (7) | (7) | Class A Common Stock | 14,019 | 14,019 | D | ||||||||
| Explanation of Responses: |
| 1. These shares were purchased through the Citizens, Inc. Stock Investment Plan as part of regular monthly payroll deduction. |
| 2. Each restricted stock unit represents a contingent right to receive one share of Citizens, Inc. Class A common stock. |
| 3. On August 15, 2023, the reporting person was granted an award of restricted stock units, vesting in three equal annual installments on the first anniversary date of the grant (August 15, 2024) and the second anniversary date of the grant (August 15, 2025) and the third anniversary date of the grant (August 15, 2026) |
| 4. On November 1, 2021, the reporting person was granted an award of restricted stock units, vesting in three equal annual installments on the first anniversary date of the grant (November 1, 2022) and the second anniversary date of the grant (November 1, 2023) and the third anniversary date of the grant (November 1, 2024) |
| 5. On July 15, 2022, the reporting person was granted an award of restricted stock units, vesting in three equal annual installments on the first anniversary date of the grant (July 15, 2023) and the second anniversary date of the grant (July 15, 2024) and the third anniversary date of the grant (July 15, 2025) |
| 6. On March 28, 2024, the reporting person was granted an award of restricted stock units (RSUs) under the Citizens, Inc. Omnibus Incentive Plan for 2023 pay-for-performance. The RSUs vest in three equal annual installments on the first anniversary of the date of the grant (March 28, 2025) and the second anniversary of the date of the grant (March 28, 2026) and the third anniversary of the date of the grant (March 28, 2027). |
| 7. On March 28, 2024, the reporting person was granted an award of RSUs under the Citizens, Inc. Omnibus Incentive Plan for the 2024 long-term incentive. The RSUs vest in three equal annual installments on the first anniversary of the date of the grant (March 28, 2025) and the second anniversary of the date of the grant (March 28, 2026) and the third anniversary of the date of the grant (March 28, 2027). |
| Remarks: |
| /s/Bryon Matthew Lewis | 08/19/2024 | |
| ** 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 4 (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. | ||