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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 | ||||||||
Restricted Stock Units | (9) | 02/17/2015 | A | 37,233 | (10) | (10) | Common Shares | 37,233 | (9) | 161,361 (11) (12) | D | ||||
Restricted Stock Units | (3) | 02/18/2015 | M | 10,728 | (13) | (13) | Common Shares | 10,728 | (3) | 150,633 (11) | D | ||||
Restricted Stock Units | (6) | 02/19/2015 | M | 12,801 | (14) | (14) | Common Shares | 12,801 | (6) | 137,832 (11) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Carmilani Scott A ALLIED WORLD ASSURANCE CO. HOLDINGS, AG GUBELSTRASSE 24, PARK TOWER, 15TH FLOOR ZUG, V8 6300 |
X | President, CEO and Chairman |
/s/ Wayne H. Datz, by Power of Attorney | 02/19/2015 | |
**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) | Represents the Company's common shares that were earned pursuant to a 2012 performance-based award for no monetary consideration and which vested at 136% of target based on the achievement of pre-established performance criteria during the applicable three-year performance period established under the Company's Third Amended and Restated 2004 Stock Incentive Plan. |
(2) | Exclusively represents shares withheld by the Company with respect to the payment of withholding tax liability incurred upon the vesting of the performance-based awards. |
(3) | On February 18, 2014, the reporting person was granted 42,930 Restricted Stock Units for no monetary consideration. The Restricted Stock Units convert into (i) 21,465 common shares and (ii) cash equal to the market value of 21,465 common shares (measured at the date of vesting) upon the vesting of such Restricted Stock Units. These Restricted Stock Units were previously reported as a grant of 14,310 Restricted Stock Units converting into (i) 7,155 common shares and (ii) cash equal to the market value of 7,155 common shares. These amounts have been adjusted to reflect the issuer's 3-for-1 stock split paid on May 23, 2014. |
(4) | The fair market value of the cash portion was determined using the daily volume-weighted average sales price of the common shares for the five consecutive trading days up to and including February 18, 2015. |
(5) | Exclusively represents shares withheld by the Company with respect to the payment of withholding tax liability incurred upon the vesting of Restricted Stock Units. |
(6) | On February 19, 2013, the reporting person was granted 51,201 Restricted Stock Units for no monetary consideration. The Restricted Stock Units convert into cash equal to the market value of 51,201 common shares (measured at the date of vesting) upon the vesting of such Restricted Stock Units. These Restricted Stock Units were previously reported as a grant of 17,067 Restricted Stock Units that convert into cash equal to the market value of the 17,067 common shares. The amount has been adjusted to reflect the issuer's 3-for-1 stock split paid on May 23, 2014. |
(7) | The fair market value was determined using the daily volume-weighted average sales price of the common shares for the five consecutive trading days up to and including February 19, 2015. |
(8) | Represents 129,000 shares held by an irrevocable trust for the benefit of the reporting person's spouse and children. |
(9) | Grant of Restricted Stock Units for no monetary consideration. Restricted Stock Units convert into (i) 22,340 common shares and (ii) cash equal to the market value of 14,893 common shares (measured at the date of vesting) upon the vesting of such Restricted Stock Units. |
(10) | The Restricted Stock Units vest in four equal installments with the first installment vesting on February 17, 2016. |
(11) | Represents Restricted Stock Units held by the reporting person that vest in whole or in part in cash. |
(12) | Reflects the issuer's 3-for-1 stock split paid on May 23, 2014. |
(13) | The Restricted Stock Units vest in four equal installments with the first installment vesting on February 18, 2015. |
(14) | The Restricted Stock Units vest in four equal installments with the first installment vesting on February 19, 2014. |