Statement of Changes in Beneficial Ownership (4)
June 18 2018 - 4:13PM
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
*
DELCOL JOHN V
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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)
Secretary
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(Last)
(First)
(Middle)
WATERLOO HOUSE, 100 PITTS BAY ROAD
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3. Date of Earliest Transaction
(MM/DD/YYYY)
6/15/2018
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(Street)
PEMBROKE, D0 HM08
(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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Common Shares
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0
(1)
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D
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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 Share Units
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$0.0
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6/15/2018
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A
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2128
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(2)
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(2)
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Common Shares
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2128.0
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$0
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2128
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D
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Restricted Share Units
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$0.0
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6/15/2018
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J
(3)
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2128
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(2)
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(2)
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Common Shares
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2128.0
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$0
(4)
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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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The number of securities beneficially owned by the Reporting Person has been edited to correct a typographical error in the Reporting Person's prior Form 4 filing.
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(2)
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This award will vest in three equal tranches on June 15, 2019, 2020 and 2021, subject to the Reporting Person remaining actively engaged as a director of the Issuer in good standing on such dates.
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(3)
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In accordance with an agreement between Sompo International Holdings Ltd. ("SIH"), as successor in interest to Endurance Specialty Holdings Ltd., and the Reporting Person, all remuneration, including cash fees, restricted share units, any other equity-based awards and other compensation, to which the Reporting Person is or will become entitled for his service as a Director of the Company will be assigned or paid directly to SIH. The Reporting Person disclaims beneficial ownership of all such restricted share units.
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(4)
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The Reporting Person transferred the restricted share units to SIH 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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DELCOL JOHN V
WATERLOO HOUSE
100 PITTS BAY ROAD
PEMBROKE, D0 HM08
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X
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Secretary
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Signatures
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/s/ John V. Del Col
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6/18/2018
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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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