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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 07/06/2017
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3. Issuer Name and Ticker or Trading Symbol
Brighthouse Financial, Inc.
[ BHF ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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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)
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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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No Shares Beneficially Owned |
0 |
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 |
Explanation of Responses: |
Remarks: |
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/s/ Gary S. Tashjian, authorized signer |
07/06/2017 |
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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. |
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
TO WHOM IT MAY CONCERN:
Pursuant to the authorization set forth in the instructions for the filing of
Form 3, Form 4 and Form 5, respectively (hereinafter referred to as the
"Reports"), under the requirements of the Securities Exchange Act of 1934, as
amended, the undersigned hereby designates and authorizes each of BRUCE H.
SCHINDLER, D. BURT ARRINGTON, GARY S. TASHJIAN, and PATRICIA E. DONNELLY to
execute and file, or cause to be filed, such Reports, and any amendments
thereto, on behalf of the undersigned, with the Securities and Exchange
Commission and any other proper bodies at any time when the filing of said
Reports is in order, containing such information as BRUCE H. SCHINDLER, D. BURT
ARRINGTON, GARY S. TASHJIAN, and PATRICIA E. DONNELLY may deem advisable.
The authority of BRUCE H. SCHINDLER, D. BURT ARRINGTON, GARY S. TASHJIAN, and
PATRICIA E. DONNELLY under this authorization shall continue until the
undersigned is no longer required to file Reports with regard to the
undersigned's ownership of or transactions in securities of Brighthouse
Financial, Inc., unless earlier revoked by the undersigned in writing.
The undersigned acknowledges that BRUCE H. SCHINDLER, D. BURT ARRINGTON, GARY S.
TASHJIAN, and PATRICIA E. DONNELLY are not assuming any of the undersigned's
responsibilities to comply with Section 16 of the Securities Exchange Act of
1934, as amended.
/s/John D. McCallion
June 28, 2017