SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Form 3 Holdings Reported.
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
VARNER CHILTON D

(Last) (First) (Middle)
300 N. BEACH STREET

(Street)
DAYTONA BEACH FL 32114

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BROWN & BROWN, INC. [ BRO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2020
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock, $.10 par value 08/18/2016 L5 90 A $18.19 59,660(1)(2) D
Common Stock, $.10 par value 11/10/2016 L5 2 A $18.33 59,660(1)(2) D
Common Stock, $.10 par value 11/10/2016 L5 96 A $18.92 59,660(1)(2) D
Common Stock, $.10 par value 02/06/2017 L5 2 A $20.32 59,660(1)(2) D
Common Stock, $.10 par value 02/16/2017 L5 84 A $21.74 59,660(1)(2) D
Common Stock, $.10 par value 05/17/2017 L5 88 A $20.93 59,660(1)(2) D
Common Stock, $.10 par value 08/16/2017 L5 84 A $22.11 59,660(1)(2) D
Common Stock, $.10 par value 11/08/2017 L5 84 A $24.66 59,660(1)(2) D
Common Stock, $.10 par value 02/14/2018 L5 81 A $25.68 59,660(1)(2) D
Common Stock, $.10 par value 05/18/2018 L5 75 A $27.54 59,660(1)(2) D
Common Stock, $.10 par value 08/15/2018 L5 70 A $29.63 59,660(1)(2) D
Common Stock, $.10 par value 11/07/2018 L5 77 A $28.93 59,660(1)(2) D
Common Stock, $.10 par value 02/20/2019 L5 76 A $29.16 59,660(1)(2) D
Common Stock, $.10 par value 05/17/2019 L5 70 A $31.8 59,660(1)(2) D
Common Stock, $.10 par value 08/14/2019 L5 62 A $35.98 59,660(1)(2) D
Common Stock, $.10 par value 11/20/2019 L5 63 A $37.92 59,660(1)(2) D
Common Stock, $.10 par value 02/19/2020 L 49 A $48.33 59,660(1)(2) D
Common Stock, $.10 par value 05/20/2020 L 62 A $38.73 59,660(1)(2) D
Common Stock, $.10 par value (Jointly Owned) 11,449(2) D(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 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 (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Amount reflects the correction of a clerical error in a filing made on January 23, 2008 that understated the reporting person's direct holdings by 20 shares.
2. Amount reflects a correction to certain of the reporting person's previous filings, which understated the reporting person's direct holdings held individually by 15,751 and overstated the reporting person's direct holdings held jointly with spouse by 15,751.
3. Owned jointly with spouse.
Remarks:
/s/ Chilton S. Varner 02/05/2021
** 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 4 (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.