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) 10/19/2021
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3. Issuer Name and Ticker or Trading Symbol
BROWN & BROWN, INC.
[ BRO ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
EVP/Chief Information 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)
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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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Common Stock, $.10 par value |
1,140 |
D |
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Common Stock, $10 par value (2019 SIP) |
9,961
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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/ Kenneth G. Nester |
10/25/2021 |
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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
This Statement confirms that the undersigned, Kenneth Gray Nester (the
"Insider"), has authorized and designated Robert W. Lloyd, Anthony M. Robinson,
and Lisa M. Gayton, and each of them (each of the foregoing is referred to as an
"Authorized Signer") to execute and file on the Insider's behalf any and all
Forms 3, 4 and 5 (including any amendments thereto) that the Insider may be
required to file with the United States Securities and Exchange Commission as a
result of the Insider's ownership of, and transaction in, securities of Brown &
Brown, Inc. (the "Company").
The authority of the Authorized Signers under this Confirming Statement shall
continue until the Insider is no longer required to file Forms 3, 4 and 5 with
regard to the Insider's ownership of, or transactions in, securities of the
Company, unless revoked in writing. The Insider acknowledges that none of the
Authorized Signers is assuming any of the Insider's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
Date: 10/21/2021
/s/ Kenneth Gray Nester II