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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrant | $ 14.8 | 12/08/2010 | S(1) | 7,955,553 | 12/01/2013 | 12/31/2013 | Common Shares | 7,955,553 | $ 1.6969 | 0 | I | By Haverford (Bermuda) Ltd. (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BYRNE MARK JAMES 48 PAR LA VILLE ROAD SUITE 504 HAMILTON, D0 HM 11 |
Former Director and 10% Owner |
/s/Mark J. Byrne | 12/10/2010 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On December 8, 2010, Flagstone (Bermuda) Holdings, Limited entered into an agreement to purchase: (i) 8,005,024 shares of Flagstone Reinsurance Holdings, S.A. (the "Issuer") from Haverford (Bermuda) Ltd. ("Haverford") and Limestone Business Limited ("Limestone") and (ii) the Amended and Restated Share Purchase Warrant dated as of June 25, 2010 (the "Haverford Warrant"), issued to Haverford and exercisable for 7,955,553 shares, par value $0.01 per share, of the Issuer. |
(2) | The reporting person is the Chairman and Chief Executive Officer of Haverford, and therefore has investment and voting control over the 2,849,868 common shares of the Issuer held by Haverford and the Haverford Warrant. |
(3) | These common shares are held by Limestone, which is owned by a trust, established for the benefit of others, for which the reporting person is the settlor. The reporting person disclaims beneficial ownership of these shares. |
(4) | These common shares represent shares purchased in connection with the initial public offering of the Issuer and are owned by Rebecca Byrne, the wife of the reporting person. The reporting person disclaims beneficial ownership of these shares. |