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*
| 777 108TH AVE NE |
| SUITE 1200 |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
11/01/2010
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3. Issuer Name and Ticker or Trading Symbol
Symetra Financial CORP
[ SYA ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
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10% Owner |
| X |
Officer (give title below) |
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Other (specify below) |
| EVP - Life Division |
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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)
|
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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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: |
|
| No securities are beneficially owned. |
|
Ellen J. Beardsley, Attorney In Fact |
11/03/2010 |
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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. |
POWER OF ATTORNEY- SEC SECTION 16 FILINGS
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and
appoints each of George C. Pagos, Jacqueline M. Veneziani and Ellen J.
Beardsley, and each of them and each of their respective successors, as the
undersigned's true and lawful attorney-in-fact (the "Attorney-in-Fact"), each
with the power to act alone for the undersigned and in the undersigned's name,
place and stead to:
(1) execute for and on behalf of the undersigned, in the
undersigned's capacity as an officer and/or director of Symetra Financial
Corporation or one or more of its subsidiaries (collectively, the
"Corporation"), Forms 3, 4, and 5, and any amendments thereto, in accordance
with Section 16(a) of the Securities Exchange Act of 1934, as amended (the
"Exchange Act") 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 any
such Form 3, 4, or 5, and timely file such form with the United States
Securities and Exchange Commission and any stock exchange or similar authority;
(3) submit a Form ID for purposes of obtaining an EDGAR filing code,
if necessary;
(4) seek or obtain, as the undersigned's representative and on the
undersigned's behalf, information from any third party, including the
Corporation, brokers, dealers, employee benefit plan administrators and
trustees, and the undersigned hereby authorizes any such third party to release
any such information to the Attorney-in-Fact; and
(5) take any other action of any type whatsoever in connection with
the foregoing which, in the opinion of any 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 any 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 Attorney-in-Fact may approve in his or her
discretion.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require, the
Attorney-in-Fact to act at his or her discretion on information provided to
such Attorney-in-Fact without independent verification of such information;
(2) the foregoing Attorney-in-Fact, in serving in such capacity at
the request of the undersigned, are not assuming, nor is the Corporation
assuming, any of the undersigned's responsibilities to comply with Section 16
of the Exchange Act, any liability of the undersigned for any failure to comply
with such requirements, or any liability of the undersigned for disgorgement of
profits under Section 16(b) of the Exchange Act. Accordingly, the undersigned
hereby agrees to indemnify each Attorney-in-Fact for and to hold each Attorney-
in-Fact harmless against any loss, liability, penalty, claim, damage,
settlement, judgment, cost or expense incurred on the Attorney-in-Fact's part
and arising out of or in connection with actions taken by such Attorney-in-Fact
that are authorized hereunder, as determined in such Attorney-in-Fact
discretion; and
(3) this Power of Attorney does not relieve the undersigned from
responsibility from compliance with the undersigned's obligations under Section
16 of the Exchange Act, including, without limitation, the reporting
requirements under Section 16 of the Exchange Act.
The undersigned hereby grants to each 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 any 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.
This Power of Attorney supersedes any power of attorney previously
executed by the undersigned regarding the purposes outlined in the first
paragraph hereof ("Prior Powers of Attorney"), and the authority of the
attorneys-in-fact named in any Prior Powers of Attorney is hereby revoked.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to
the undersigned's holdings of and transactions in securities issued by the
Corporation, (a) unless earlier revoked by the undersigned in a signed writing
delivered to the foregoing Attorneys-in-Fact, or (b) superseded by a new power
of attorney regarding the purposes outlined in the first paragraph hereof
dated as of a later date.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 29th day of October, 2010.
/s/ Jonathan E. Curley
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Signature
Jonathan E. Curley
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Print Name
