Filing Details

Accession Number:
0001209191-10-020064
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-04-02 13:00:00
Reporting Period:
2010-04-01
Filing Date:
2010-04-02
Accepted Time:
2010-04-02 12:27:51
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1475922 Primerica Inc. PRI Life Insurance (6311) 271204330
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1487290 Mark Mason 3120 Breckinridge Blvd.
Duluth GA 30099
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2010-04-01 74,999,900 $0.00 75,000,000 No 4 J Indirect By Citigroup Insurance Holding Corporation
Common Stock Disposition 2010-04-01 5,021,412 $0.00 69,978,588 No 4 S Indirect By Citigroup Insurance Holding Corporation
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 J Indirect By Citigroup Insurance Holding Corporation
No 4 S Indirect By Citigroup Insurance Holding Corporation
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant Acquisiton 2010-04-01 4,103,100 $0.00 4,103,100 $18.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
4,103,100 2010-04-01 No 4 J Indirect
Footnotes
  1. The Reporting Person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. The Reporting Person is the designee of Citigroup Inc. ("Citigroup") to the Issuer's Board of Directors pursuant to the Intercompany Agreement by and between Primerica, Inc. and Citigroup, the form of which was filed by the Issuer as Exhibit 10.1 to its Registration Statement on Form S-1 (No. 333-162918).
  2. These securities were acquired by Citigroup Insurance Holding Corporation ("CIHC") pursuant to the Exchange and Transfer Agreement, dated March 31, 2010, between the Issuer and CIHC pursuant to which the Issuer issued 74,999,900 shares of common stock to CIHC, warrants to purchase 4,103,100 shares of common stock and a $300 million note in exchange for CIHC's transfer to the Issuer of the capital stock of CIHC's subsidiaries that held the businesses comprising the Issuer's operations.
  3. These securities were contributed to the Issuer by CIHC for no consideration pursuant to the Contribution Agreement, dated March 31, 2010, between CIHC and the Issuer.
  4. These warrants expire seven years from the Closing Date, as such term is defined in the Securities Purchase Agreement, dated February 8, 2010, among CIHC, the Issuer, Warburg Pincus Private Equity X, L.P. and Warburg Pincus X Partners, L.P., which was filed by the Issuer as Exhibit 2.1 to its Registration Statement on Form S-1 (No. 333-162918).