Initial Statement of Beneficial Ownership (3)
02 Décembre 2021 - 10:32PM
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
Estimated average burden
hours per response... 0.5 |
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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
|
|
1. Name
and Address of Reporting Person * Lummus
Dewayne |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
11/30/2021
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3. Issuer Name and Ticker or Trading
Symbol AMERICAN EQUITY INVESTMENT LIFE HOLDING CO
[AEL] |
(Last)
(First)
(Middle)
6000 WESTOWN PARKWAY |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
___X___ Officer (give title
below) _____
Other (specify below)
SVP & Chief Accounting Officer
/ |
(Street)
WEST DES
MOINES, IA 50266
(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 |
Table I - Non-Derivative Securities Beneficially
Owned
|
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) |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
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 |
Explanation of
Responses: |
Remarks:
Exhibit list: Exhibit 24 - Power of Attorney |
No securities are beneficially
owned. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Lummus Dewayne
6000 WESTOWN PARKWAY
WEST DES MOINES, IA 50266 |
|
|
SVP & Chief Accounting
Officer |
|
Signatures
|
/s/ Mark A. Schuman, authorized
signer |
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12/2/2021 |
**Signature of
Reporting Person |
Date |
American Equity Investme... (NYSE:AEL)
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