Termination of Registration of a Class of Security Under Section 12(b) (15-12b)
March 09 2021 - 6:05AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
FORM 15
CERTIFICATION
AND NOTICE OF TERMINATION OF REGISTRATION
UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934
OR SUSPENSION OF DUTY
TO FILE REPORTS UNDER SECTIONS 13 AND 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934.
Commission File
No. 001-38731
SIRIUS INTERNATIONAL INSURANCE GROUP,
LTD.
(Exact name of
registrant as specified in its charter)
14 Wesley Street
Hamilton HM 11, Bermuda
(441) 278-3140
(Address, including
zip code, and telephone number, including area code, of registrant’s principal executive offices)
Common Shares,
par value $0.01 per share
(Title
of each class of securities covered by this Form)
None
(Titles of all other
classes of securities for which a duty to file reports under Section 13(a) or 15(d) remains)
Please place an X in the box(es)
to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:
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Rule 12g-4(a)(1)
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x
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Rule 12g-4(a)(2)
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¨
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Rule 12h-3(b)(1)(i)
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x
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Rule 12h-3(b)(1)(ii)
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¨
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Rule 15d-6
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¨
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Rule 15d-22(b)
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¨
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Approximate number of holders of record as of the
certification or notice date: 1
Pursuant to the requirements of
the Securities Exchange Act of 1934, Sirius International Insurance Group, Ltd. has caused this certification/notice to be signed
on its behalf by the undersigned duly authorized person.
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SIRIUS INTERNATIONAL INSURANCE GROUP, LTD.
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Date: March 9, 2021
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By:
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/s/ Lisa Tanzi
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Name: Lisa Tanzi
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Title: Deputy General Counsel
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