Initial Statement of Beneficial Ownership (3)
December 09 2021 - 6:17PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
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Gibbar Kristin |
2. Date of Event Requiring Statement (MM/DD/YYYY)
12/1/2021
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3. Issuer Name and Ticker or Trading Symbol
SelectQuote, Inc. [SLQT]
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(Last)
(First)
(Middle)
C/O SELECTQUOTE, INC., 6800 WEST 115TH STREET, SUITE 2511 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Chief Human Resources Officer / |
(Street)
OVERLAND PARK, KS 66211
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 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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Table I - Non-Derivative Securities Beneficially Owned
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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) |
Common Stock, par value $0.01 per share | 375 | 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. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: 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 |
Employee Stock Options (1) | (2) | 8/24/2030 | Common Stock, par value $0.01 per share | 8805.0 | $19.65 | D | |
Restricted Stock Units (3) | 8/24/2021 (4) | (4) | Common Stock, par value $0.01 per share | 1651.0 | (5) | D | |
Employee Stock Options (1) | (2) | 8/1/2031 | Common Stock, par value $0.01 per share | 12140.0 | $17.8 | D | |
Restricted Stock Units (3) | 8/1/2022 (4) | (4) | Common Stock, par value $0.01 per share | 3035.0 | (5) | D | |
Explanation of Responses: |
(1) | Represents non-statutory stock options (NSOs) of SelectQuote, Inc. (the "Company") granted to Ms. Gibbar pursuant to the Company's 2020 Omnibus Incentive Plan (the "Plan"). Each NSO represents the contingent right to purchase one share of the Company's common stock, par value $0.01 per share ("Common Stock"), at a pre-determined price. |
(2) | The option vests in four equal annual installments on each of the first four anniversaries of the grant date, subject to the recipient's continued employment with the Company as of the applicable vesting date. |
(3) | Represents restricted stock units (RSUs) of the Company granted to Ms. Gibbar under the Plan. |
(4) | The RSUs vest in four equal annual installments on each of the first four anniversaries of the grant date, subject to the recipient's continued employment with the Company as of the applicable vesting date. The date indicated above is the first anniversary of the grant date of the respective award. |
(5) | Each RSU represents the contingent right to receive one share of Common Stock. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Gibbar Kristin C/O SELECTQUOTE, INC. 6800 WEST 115TH STREET, SUITE 2511 OVERLAND PARK, KS 66211 |
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| Chief Human Resources Officer |
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Signatures
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/s/ Kristin Gibbar | | 12/9/2021 |
**Signature of Reporting Person | Date |
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