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
|
| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person*
| 3760 STATE STREET |
| SUITE 201 |
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year)
02/03/2016
|
3. Issuer Name and Ticker or Trading Symbol
Fidelity National Financial, Inc.
[ FNF ]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| Chief Operating Officer |
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
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)
|
| FNF Group Common Stock |
69,079.76 |
D |
|
| FNF Group Common Stock |
424.27 |
I |
FNF 401(k) account |
| FNFV Group Common Stock |
43 |
D |
|
| FNFV Group Common Stock |
136.01 |
I |
FNFV 401(k) |
| FNFV Group Common Stock |
111,506.925 |
I |
Jewkes Family Trust |
| FNF Group Common Stock |
344,097.135 |
I |
Jewkes Family Trust |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
4)
|
2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form: 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 |
| FNF Group Stock Option (right To Purchase) |
11/08/2013 |
11/08/2019 |
FNF Group Common Stock |
38,282 |
19.62 |
D |
|
| FNF Group Stock Option (right To Purchase) |
11/21/2014
|
11/21/2020 |
FNF Group Common Stock |
1,874,960 |
24.24 |
D |
|
| FNF Group Stock Option (right To Purchase) |
11/03/2015
|
11/03/2021 |
FNF Group Common Stock |
66,049 |
29.8 |
D |
|
| FNF Group Stock Option (right To Purchase) |
10/29/2016
|
10/29/2022 |
FNF Group Common Stock |
750,000 |
34.84 |
D |
|
| Explanation of Responses: |
|
|
|
|
/s/ Michael L. Gravelle, as attorney-in-fact |
02/09/2016 |
|
** 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
Know all by these presents, that the undersigned hereby constitutes
and appoints Michael Gravelle, Colleen Haley or Carol Nairn,
signing singly, the undersigned?s true and lawful attorney
in fact to:
(1) execute for and on behalf of the undersigned, in the
undersigned?s capacity as an officer and/or director of
Fidelity National Financial, Inc. (the ?Company?), a Form 3
(Initial Statement of Beneficial Ownership of Securities),
Form 4 (Statement of Changes in Beneficial Ownership),
and/or Form 5 (Annual Statement of Changes in Beneficial
Ownership), in accordance with Section 16(a) of the
Securities Exchange Act of 1934 and the rules thereunder;
(2) do and perform any and all acts for and on behalf
of the undersigned which may be necessary or desirable
to complete and execute such Form(s) and to timely file
such Form(s) with the United States Securities and
Exchange Commission and any stock exchange or similar
authority; and
(3) take any other action of any type whatsoever
in connection with the foregoing which, in the
opinion of such attorney in fact, may be of benefit
to, in the best interest of, or legally required by,
the undersigned, it being understood that the documents
executed by such attorney in fact on behalf of the
undersigned pursuant to this Power of Attorney
shall be in such form and shall contain such terms and
conditions as such attorney in fact may approve in such
attorney in fact?s discretion.
The undersigned hereby grants to 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 the undersigned
might or could do if personally present, with full
power of substitution or revocation, 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.
The undersigned acknowledges that the foregoing attorney
in fact, in serving in such capacity at the request of the
undersigned, is not assuming, nor is the Company assuming,
any of the undersigned?s responsibility to comply with
Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and
effect until revoked by the undersigned in a signed
writing delivered to the foregoing attorney in fact.
IN WITNESS WHEREOF, the undersigned has caused this
Power of Attorney to be executed as of this 8th day
of February, 2016.
____________________________
/s/ Roger S. Jewkes
