Citizens Inc.

11/05/2024 | Press release | Distributed by Public on 11/05/2024 13:44

Statement of Changes in Beneficial Ownership - Form 4

Ownership Submission
FORM 4
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 that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN 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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(Print or Type Responses)
1. Name and Address of Reporting Person *
Lewis Bryon Matthew
2. Issuer Name and Ticker or Trading Symbol
CITIZENS, INC. [CIA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
VP, Operations
(Last) (First) (Middle)
11815 ALTERRA PARKWAY, SUITE 1500
3. Date of Earliest Transaction (Month/Day/Year)
08/30/2024
(Street)
AUSTIN, TX 78758
4. If Amendment, Date 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
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 08/30/2024 L(1) 165.9989 A $2.98 5,841.8062 D
Citizens, Inc. Class A Common Stock 11/01/2024 M 1,032 A (2) 6,873.8062 D
Citizens, Inc. Class A Common Stock 11/01/2024 F 252 D $4.59 6,621.8062 D
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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 control number. SEC 1474 (9-02)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Underlying Securities
(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 of Derivative Security: 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) 11/01/2024 M 1,032 (3) (3) Class A Common Stock 1,032 $ 0 0 D
Restricted Stock Units (2) (4) (4) Class A Common Stock 1,278 1,278 D
Restricted Stock Units (2) (5) (5) Class A Common Stock 5,251 5,251 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

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Lewis Bryon Matthew
11815 ALTERRA PARKWAY, SUITE 1500
AUSTIN, TX 78758
VP, Operations

Signatures

/s/Bryon Matthew Lewis 11/05/2024
**Signature of Reporting Person Date

Explanation of Responses:

* 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).
(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 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)
(4) 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)
(5) 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)
(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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.