SEC FORM
3
SEC Form 3
| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF 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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| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
| 16600 SWINGLEY RIDGE ROAD |
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(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
08/01/2019
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3. Issuer Name and Ticker or Trading Symbol
REINSURANCE GROUP OF AMERICA INC
[ RGA ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
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10% Owner |
| X |
Officer (give title below) |
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Other (specify below) |
| EVP, Chief HR Officer |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Common Stock |
7,912 |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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|---|
| 1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Stock Appreciation Right (right to purchase) 2017 |
12/31/2017 |
03/03/2027 |
Common Stock |
2,276 |
129.8 |
D |
|
| Stock Appreciation Right (right to purchase) 2014 |
12/31/2014 |
03/07/2024 |
Common Stock |
2,532 |
78.48 |
D |
|
| Stock Appreciation Right (right to purchase) 2019 |
12/31/2019 |
03/01/2029 |
Common Stock |
2,729 |
145.25 |
D |
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| Stock Appreciation Right (right to purchase) 2018 |
12/31/2018 |
03/02/2028 |
Common Stock |
2,381 |
150.87 |
D |
|
| Stock Appreciation Right (right to purchase) 2016 |
12/31/2016 |
03/04/2026 |
Common Stock |
3,124 |
93.53 |
D |
|
| Stock Appreciation Right (right to purchase) 2015 |
12/31/2015 |
03/06/2025 |
Common Stock |
2,622 |
90.06 |
D |
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| Explanation of Responses: |
| Remarks: |
|
|
/s/ William L. Hutton |
08/05/2019 |
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** 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
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). |
| 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 Number. |
POWER OF ATTORNEY
The undersigned, as an officer of Reinsurance Group of America,
Incorporated hereby constitutes and appoints John Hayden, Todd C. Larson and
William L. Hutton, and each of them singly, with full power to sign for me, and
in my name and in the capacity stated below, an application for an Edgar SEC
Form ID, Forms 3, 4 and 5 and any other forms concerning beneficial ownership
of equity securities in Reinsurance Group of America, Incorporated required
under Section 16(a) of the Securities Exchange Act of 1934, and to file the
same, with all exhibits thereto and other documents in connection therewith,
with the Securities and Exchange Commission.
I hereby grant to each such attorney-in-fact full power and authority to do
and perform any and every act and thing whatsoever requisite, necessary, or
proper to be done in the exercise of any of the rights and powers herein
granted, as fully to all intents and purposes as I might or could do if
personally present, with full power of substitution or revocations, hereby
ratifying and confirming all that such attorney-in-fact, or such attorney-in-
fact's substitute or substitutes, shall lawfully do or cause to be done by
virtue of this power of attorney and the rights and powers herein granted.
This Power of Attorney shall remain in full force and effect until I am no
longer required to file Forms 3, 4, and 5 with respect to my holdings of and
transactions in securities issued by the Company, unless earlier revoked by me
in a signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, I have caused this Power of Attorney to be executed as
of this 25th day of July, 2019.
/s/ Gay Burns
___________________
Gay Burns
