Vericity Inc.

07/02/2024 | Press release | Distributed by Public on 07/02/2024 15:00

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).
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
OMB APPROVAL
OMB Number:3235-0287Expires:January 31, 2005Estimated average burden hours per response...0.5
1. Name and Address of Reporting Person *
Apex Holdco L.P.
2. Issuer Name and Ticker or Trading Symbol
Vericity, Inc. [VERY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
767 5TH AVENUE, 23RD FLOOR ,
3. Date of Earliest Transaction (Month/Day/Year)
(Street)
NEW YORK NY 10153
4. If Amendment, Date Original Filed(Month/Day/Year)
6. Individual or Join/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ 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 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code 4. Securities Acquired (A) or Disposed of (D) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) 6. Ownership Form: Direct (D) or Indirect (I) 7. Nature of Indirect Beneficial Ownership
Code V Amount (A) or (D) Price
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security 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 5. Number of Derivative Securities Acquired (A) or Disposed of (D) 6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security 8. Price of Derivative Security 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) 11. Nature of Indirect Beneficial Ownership
Code V (A) (D) Date Exercisable Expriation Date Title Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Apex Holdco L.P.
767 5TH AVENUE, 23RD FLOOR

NEW YORK, NY10153



Apex Holdco GP LLC
C/O J. C. FLOWERS & CO.
767 5TH AVENUE, 23TH FLOOR
NEW YORK, NY10153



JCF Associates IV L.P.
C/O J. C. FLOWERS & CO.
767 5TH AVENUE, 23TH FLOOR
NEW YORK, NY10153



JCF Associates IV Ltd.
C/O J. C. FLOWERS & CO.
767 5TH AVENUE, 23TH FLOOR
NEW YORK, NY10153



Flowers J. Christopher
C/O J. C. FLOWERS & CO.
767 5TH AVENUE, 23TH FLOOR
NEW YORK, NY10153



Signatures

Signatures Included in Exhibit 99.1 2024-07-02
**Signature of Reporting Person Date

Explanation of Responses:

(*) If the form is filed by more than one reporting person, see Instruction 5(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) The Issuer was acquired by a subsidiary of iA Financial Corporation, Inc. in accordance with an Agreement and Plan of Merger dated as of October 3, 2023, whereby each share of Common Stock outstanding (subject to certain exceptions) was converted into the right to receive $11.43 in cash.
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.