Insurance Australia : Appendix 3G

For personal use only

This appendix is available as an online form

Only use this form if the online version is not available +Rule 3.10.3A, 3.10.3B, 3.10.3C, 3.10.3D

Appendix 3G

Notification of issue, conversion or payment up of

unquoted equity +securities

Note: this form is also used to notify ASX where quoted options have been exercised or other quoted convertible securities have been converted and the securities received as a result of the exercise or conversion either are already quoted on ASX or are not intended to be quoted on ASX.

Information or documents not available now must be given to ASX as soon as available. Information and documents given to ASX become ASX's property and may be made public.

If you are an entity incorporated outside Australia and you are issuing a new class of +securities other than CDIs, you will need to obtain and provide an International Securities Identification Number (ISIN) for that class. Further information on the requirement for the notification of an ISIN is available from the Create Online Forms page. ASX is unable to create the new ISIN for non-Australian issuers.

*Denotes minimum information required for first lodgement of this form, with exceptions provided in specific notes for certain questions. The balance of the information, where applicable, must be provided as soon as reasonably practicable by the entity.

Part 1 - Entity and announcement details

Question	Question	Answer
no
1.1	*Name of entity	INSURANCE AUSTRALIA GROUP LIMITED
	We (the entity here named) give notice of the issue,
	conversion or payment up of the following unquoted
	+securities.
1.2	*Registration type and number
	Please supply your ABN, ARSN, ARBN, ACN or	ABN : 60090739923
	another registration type and number (if you supply
	another registration type, please specify both the type
	of registration and the registration number).
1.3	*ASX issuer code
1.4	*This announcement is	☐ A new announcement
	Tick whichever is applicable.	☐ An update/amendment to a previous
		announcement
		☐ A cancellation of a previous
		announcement
1.4a	*Reason for update	N/A
	Mandatory only if "Update" ticked in Q1.4 above. A
	reason must be provided for an update.
1.4b	*Date of previous announcement to this	N/A
	update
	Mandatory only if "Update" ticked in Q1.4 above.
1.4c	*Reason for cancellation	N/A
	Mandatory only if "Cancellation" ticked in Q1.4 above.
1.4d	*Date of previous announcement to this
	cancellation	N/A
	Mandatory only if "Cancellation" ticked in Q1.4 above.
1.5	*Date of this announcement	17 January 2022

+ See chapter 19 for defined terms
5 June 2021	Page 1

For personal use only

This appendix is available as an online formAppendix 3G Notification of issue, conversion or payment up of unquoted equity +securities

Part 2 - Type of issue

Question	Question	Answer
No.
2.1	*The +securities the subject of this	☐ +Securities issued as part of a
	notification are:	transaction or transactions previously
	Select whichever item is applicable.	announced to the market in an Appendix
	If you wish to notify ASX of different events involving	3B that are not quoted, and are not
	unquoted securities, please complete a separate	intended to be quoted, on ASX
	Appendix 3G for each event.	☐ +Securities issued under a +dividend or
		distribution plan that are not quoted, and
		are not intended to be quoted, on ASX
		☐x Unquoted options that have been
		exercised or other unquoted +convertible
		securities that have been converted
		☐ Quoted options that have been
		exercised or other quoted +convertible
		securities that have been converted
		where the +securities received as a
		result of the exercise or conversion
		either are already quoted on ASX or are
		not intended to be quoted on ASX
		☐ Unquoted partly paid +securities upon
		which a call or instalment has been paid
		☐ +Securities issued under an +employee
		incentive scheme that are subject to a
		restriction on transfer and are not being
		quoted on ASX until the restriction ends
		☐ +Other securities issued under an
		+employee incentive scheme that are
		not intended to be quoted on ASX
		☐ Other [please specify]
		If you have selected 'other' please explain the
		circumstances here:
2.1a	*Date the +securities the subject of this	N/A
	notification were issued
	Answer this question if your response to Q2.1 is
	anything other than "Unquoted partly paid securities
	upon which a call or instalment has been paid".
2.2a.1	*Date of Appendix 3B notifying the market	N/A
	of the proposed issue of +securities the
	subject of this notification
	Answer this question if your response to Q2.1 is
	"Securities issued as part of a transaction or
	transactions previously announced to the market in
	an Appendix 3B that are not quoted, and are not
	intended to be quoted, on ASX."

+ See chapter 19 for defined terms
5 June 2021	Page 2

	This appendix is available as an online form		Appendix 3G
					Notification of issue, conversion or
				payment up of unquoted equity +securities
		2.2a.2	*Are there any further issues of +securities		Yes or No
			yet to take place to complete the		N/A
			transaction(s) referred to in the
only			Appendix 3B?
		Answer this question if your response to Q2.1 is
		"Securities issued as part of a transaction or
			transactions previously announced to the market in
			an Appendix 3B that are not quoted, and are not
			intended to be quoted, on ASX".
		2.2a.2.1	*Please provide details of the further		N/A
			issues of +securities yet to take place to
			complete the transaction(s) referred to in
			the Appendix 3B
use			Answer this question if your response to Q2.1 is
		"Securities issued as part of a transaction or
		transactions previously announced to the market in
		an Appendix 3B that are not quoted, and are not
			intended to be quoted, on ASX" and your response to
			Q2.2a.2 is "Yes".
			Please provide details of the proposed dates and
			number of securities for the further issues.
		2.2b.1	*Date of Appendix 3A.1 lodged with ASX in		N/A
			relation to the underlying +dividend or
personal			distribution
		Answer this question if your response to Q2.1 is
		converted:
			"Being issued under a dividend or distribution plan
			that are not quoted, and are not intended to be
			quoted, on ASX".
		2.2c.1	Please state the number and type of		71,230 DEFERRED AWARD RIGHTS
			options that were exercised or other		(ASX code: IAGAH)
			+convertible securities that were converted
			(including their ASX security code if
			available):
			Answer this question if your response to Q2.1 is
			"Unquoted options that have been exercised or other
			unquoted convertible securities that have been
			converted" or "Quoted options that have been
			exercised or other quoted convertible securities that
			have been converted where the securities received as
			a result of the exercise or conversion either are
			already quoted on ASX or are not intended to be
			quoted on ASX".
		2.2c.2	And the date the options were exercised or		10 December 2021
			other +convertible securities were
For			Answer this question if your response to Q2.1 is
		"Unquoted options that have been exercised or other
		unquoted convertible securities that have been
			converted" or "Quoted options that have been
			exercised or other quoted convertible securities that
			have been converted where the securities received as
			a result of the exercise or conversion either are
			already quoted on ASX or are not intended to be
			quoted on ASX".
			Note: If this occurred over a range of dates, enter the
			date the last of the options was exercised or
			convertible securities was converted.

+ See chapter 19 for defined terms
5 June 2021	Page 3

	This appendix is available as an online form		Appendix 3G
					Notification of issue, conversion or
				payment up of unquoted equity +securities
		2.2c.3	Is this all of the options or other		No
			+convertible securities on issue of that type		Note: If you have answered "No", consider whether you
			(ie have all of those options now been		need to lodge an Appendix 3H with ASX notifying ASX
only			exercised or have all of those convertible		of the cessation of some or all of the remaining options
		securities now been converted)?		or other convertible securities under Listing
			Rule 3.10.E. This may the case, for example, if options
			Answer this question if your response to Q2.1 is		have lapsed because they have passed their expiry
			""Unquoted options that have been exercised or other		date without being exercised, or convertible debt
			unquoted convertible securities that have been		securities have been repaid or redeemed without being
			converted" or "Quoted options that have been		converted.
			exercised or other quoted convertible securities that
			have been converted where the securities received as
			a result of the exercise or conversion either are
			already quoted on ASX or are not intended to be
			quoted on ASX".
use		2.2c.4	The right of the holder of the options or		☐ An issue of new +securities
		other +convertible securities to receive the		x
		+underlying securities is being satisfied by:		☐ A transfer of existing +securities
		Answer this question if your response to Q2.1 is		☐ A reclassification of the +convertible
			"Unquoted options that have been exercised or other		securities as securities in the same class
			unquoted convertible securities that have been		as the +underlying securities
			converted" or "Quoted options that have been
			exercised or other quoted convertible securities that
			have been converted where the securities received as
			a result of the exercise or conversion either are
			already quoted on ASX or are not intended to be
personal			quoted on ASX".
	2.2c.5	The underlying securities being received		☐ Already quoted by ASX
		by the holder are:		☐ Intended to be, but are not yet, quoted
			Answer this question if your response to Q2.1 is
				by ASX
			"Unquoted options that have been exercised or other
			unquoted convertible securities that have been		☐ Are not, and are not intended to be,
			converted".		quoted by ASX
		2.2c.6	The underlying securities being received		☐ Already quoted by ASX
			by the holder are:		☐ Are not, and are not intended to be,
			Answer this question if your response to Q2.1 is
				quoted by ASX
			"Quoted options that have been exercised or other
			quoted convertible securities that have been		N/A
			converted where the securities received as a result of
			the exercise or conversion either are already quoted
			on ASX or are not intended to be quoted on ASX".
		2.2c.7	*Were the options being exercised or other		Yes
			+convertible securities being converted
			issued under an +employee incentive
			scheme?
			Answer this question if your response to Q2.1 is
For			"Unquoted options that have been exercised or other
		unquoted convertible securities that have been
		converted" or "Quoted options that have been
			exercised or other quoted convertible securities that
			have been converted where the securities received as
			a result of the exercise or conversion either are
			already quoted on ASX or are not intended to be
			quoted on ASX".

+ See chapter 19 for defined terms
5 June 2021	Page 4

	This appendix is available as an online form				Appendix 3G
							Notification of issue, conversion or
						payment up of unquoted equity +securities
		2.2c.8		*Are any of the options being exercised or		No
				other +convertible securities being
				converted held by +key management
only				personnel (KMP) or an +associate?
			Answer this question if your response to Q2.1 is
			"Unquoted options that have been exercised or other
				unquoted convertible securities that have been
				converted" or "Quoted options that have been
				exercised or other quoted convertible securities that
				have been converted where the securities received as
				a result of the exercise or conversion either are
				already quoted on ASX or are not intended to be
				quoted on ASX"." and your response to Q2.2c.7 is
				"Yes".
use		2.2c.8.a		*Provide details of the KMP or associates who are exercising options or converting
			convertible securities.
			Answer this question if your response to Q2.1 is "Unquoted options that have been exercised or other unquoted
				convertible securities that have been converted" or "Quoted options that have been exercised or other quoted
				convertible securities that have been converted where the securities received as a result of the exercise or
				conversion either are already quoted on ASX or are not intended to be quoted on ASX", your response to
				Q2.2c.7 is "Yes" and your response to Q2.2c.8 is "Yes". Repeat the detail in the table below for each KMP
				involved. If the options or other convertible securities are held by the KMP, repeat the name of the KMP or insert
				"Same" in "Name of registered holder". If the options or other convertible securities are held by an associate of a
				KMP, insert the name of the associate in "Name of registered holder".
personal
			Name of KMP	Name of registered holder		Number of options
								being exercised or
									other +convertible
									securities being
									converted
				N/A		N/A		N/A
		2.2d.1		Please state the number and type of partly		N/A
				paid +securities upon which a call or
				instalment has been paid (including their
				ASX security code if available)?
				Answer this question if your response to Q2.1 is
				"Unquoted partly paid securities upon which a call or
				instalment has been paid".
		2.2d.2		And the date upon which the call or		N/A
				instalment was paid:
				Answer this question if your response to Q2.1 is
				"Unquoted partly paid securities upon which a call or
For				instalment has been paid".
			Note: If this occurred over a range of dates, enter the
			date the last of the payments was made.
		2.2d.3		Has the call or instalment been paid on all		Yes or No	N/A
				of the partly paid +securities in question?		Note: If you have answered "No", consider whether you
				Answer this question if your response to Q2.1 is		need to lodge an Appendix 3H with ASX notifying ASX
					of the cessation of some or all of the remaining partly
				"Unquoted partly paid securities upon which a call or
					paid securities under Listing Rule 3.10.E. This may the
				instalment has been paid".
						case, for example, if partly paid securities that have not
							had the call paid by the due date will be cancelled. If
							you are an NL company, consider also whether you
							have notification obligations in relation to any forfeiture
							of the partly paid securities not paid up under Listing
							Rule 3.12.
		2.2d.4		Are the securities on which the call or		Yes or No	N/A
				instalment was paid now fully paid?

+ See chapter 19 for defined terms
5 June 2021	Page 5