Statement of Changes in Beneficial Ownership (4)
November 12 2015 - 4:52PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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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1. Name and Address of Reporting Person
*
Szakmary Adam
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2. Issuer Name
and
Ticker or Trading Symbol
Blue Capital Reinsurance Holdings Ltd.
[
BCRH
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chief Executive Officer
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(Last)
(First)
(Middle)
6 LEESON LANE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
11/10/2015
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(Street)
DEVONSHIRE PARISH, D0 D0 DV 07
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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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 Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Restricted Stock Unit
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$0.0
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11/10/2015
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A
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1400
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(1)
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(1)
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Common Shares
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1400.0
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$17.69
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1400
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D
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Restricted Stock Unit
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$0.0
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11/10/2015
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J
(2)
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1400
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(1)
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(1)
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Common Shares
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1400.0
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(3)
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0
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D
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Explanation of Responses:
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(
1)
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Represents an award of restricted share units made on November 10, 2015 by the Company to Mr. Szakmary. This award will vest in three equal tranches on June 15, 2016, 2017 and 2018, subject to the Director remaining actively engaged as a Director in good standing on such dates.
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(
2)
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In accordance with an agreement between Endurance Specialty Holdings Ltd. ("ESHL") and Mr. Skakmary, all remuneration, including cash fees, restricted share units, any other equity-based awards and other compensation, to which Mr. Szakmary is or will become entitled for his service as a Director of the Company will be assigned or paid directly to ESHL. Mr. Szakmary disclaims beneficial ownership of all such restricted share units, except to the extent of his pecuniary interest in such restricted share units by virtue of his ownership of ESHL ordinary shares.
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(
3)
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Mr. Szakmary transferred the restricted share units to Endurance Specialty Holdings Ltd. for no consideration.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Szakmary Adam
6 LEESON LANE
DEVONSHIRE PARISH, D0 D0 DV 07
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X
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Chief Executive Officer
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Signatures
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/s/ Adam Szakmary
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11/12/2015
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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