Statement of Changes in Beneficial Ownership (4)
March 28 2023 - 8:52AM
Edgar (US Regulatory)
FORM 4
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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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
*
Harris Bradley Olan |
2. Issuer Name and Ticker or Trading Symbol
Jackson Financial Inc.
[
JXN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP & Chief Risk Officer |
(Last)
(First)
(Middle)
1 CORPORATE WAY |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/2/2022 |
(Street)
LANSING, MI 48951 |
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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(City)
(State)
(Zip)
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Rule 10b5-1(c) Transaction Indication
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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.
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock (1) | 2/2/2022 | | M(1) | | 9285.78 (3) | A | $0.00 | 160305.53 | D | |
Common Stock (2) | 4/2/2022 | | D(2) | | 9285.78 (3) | D | $43.21 | 151019.75 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 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 Share Units | (1) | 2/2/2022 | | A | | 9285.78 (3) | | (1) | (1) | Common Stock | 9285.78 (3) | $0.00 | 40414.46 | D | |
Restricted Share Units | (2) | 4/2/2022 | | M | | | 9285.78 (3) | (2) | (2) | Common Stock | 9285.78 (3) | $43.21 | 31128.68 | D | |
Explanation of Responses: |
(1) | Reflects the acquisition of cash-settled units earned based on achievement of performance metrics of the 43,538 Jackson Financial Inc. Performance Share Units ("PSUs"), which were converted from the 2019 PLTIP PSUs on October 4, 2021. All of the earned units vested on April 2, 2022. The previously filed Form 4 failed to report the acquisition of the cash-settled earned units, and reported the acquisition of only the 75% of share-settled earned units. |
(2) | Reflects the cash settlement of 25% of the converted units that were earned on February 2, 2022, and vested on April 2, 2022. |
(3) | The reported number, 9,285.78, does not reflect the total of (a) the number of earned "restricted share units" settled in cash, and (b) dividend equivalents from December 2021 and March 2022, all of which vested on April 2, 2022. On March 24, 2022, we erroneously over-reported 114.46
dividend equivalents distributed on the earned 27,855.36 "restricted share units" (75% settled in shares) in Table I that should have been reported on the same date but in Table II on the earned 9,285.78 "restricted share units" (25% settled in cash). Despite the incorrect reporting in Table I, upon vesting, the 114.46 dividend equivalents settled in cash, not shares. |
Remarks: Power of Attorney on file. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Harris Bradley Olan 1 CORPORATE WAY LANSING, MI 48951 |
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| EVP & Chief Risk Officer |
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Signatures
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/s/ Kristan L. Richardson, as Attorney-in-Fact | | 3/28/2023 |
**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 control number. |
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