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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 | ||||||||
Warrants | $ 12.5 | 04/14/2011 | M | 16,918,312 | 04/14/2011(7) | 11/20/2011 | Common Stock | 16,918,312 | $ 0 | 0 (1) (2) | I | See notes (1) (2) (6) | |||
Warrants | $ 12.5 | 04/14/2011 | M | 473,264 | 04/14/2011(7) | 11/20/2011 | Common Stock | 473,264 | $ 0 | 0 (1) (3) | I | See notes (1) (3) (6) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DAVIS CHARLES A 20 HORSENECK LANE GREENWICH, CT 06830 |
X | X |
/s/ Charles A. Davis | 04/18/2011 | |
**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) | This filing relates to shares of Common Stock and Warrants of AXIS Capital Holdings Limited ("AXIS"). Mr. Davis, a director of AXIS, is one of the four general partners of Trident Capital II, L.P. ("Trident GP"), which is the sole general partner of Trident II, L.P. ("Trident II"). Mr. Davis is also a director and shareholder of Stone Point GP Ltd., the entity that is the sole general partner of Marsh & McLennan Capital Professionals Fund, L.P. ("CPF"). Mr. Davis is also chief executive officer and a member of Stone Point Capital LLC, which serves as the investment manager of Trident II and CPF. |
(2) | This transaction in Table I relates to the acquisition or disposition of shares of Common Stock of AXIS by Trident II; this transaction in Table II relates to Warrants of AXIS exercised by Trident II. Mr. Davis disclaims beneficial ownership of Warrants and shares of Common Stock of AXIS that are, or may be deemed to be, beneficially owned by Trident II except to the extent of any pecuniary interest therein. This report shall not be deemed an admission that Mr. Davis is the beneficial owner of such Warrants and shares of Common Stock of AXIS. |
(3) | This transaction in Table I relates to the acquisition or disposition of shares of Common Stock of AXIS by CPF; this transaction in Table II relates to Warrants of AXIS exercised by CPF. Mr. Davis disclaims beneficial ownership of Warrants and shares of Common Stock of AXIS that are, or may be deemed to be, beneficially owned by CPF except to the extent of any pecuniary interest therein. This report shall not be deemed an admission that Mr. Davis is the beneficial owner of such Warrants and shares of Common Stock of AXIS. |
(4) | On April 14, 2011, Trident II exercised a warrant to purchase 16,918,312 shares of Common Stock of AXIS for $12.50 per share. Trident II paid the exercise price on a cashless basis, resulting in AXIS's withholding of 5,853,278 of the warrant shares to satisfy the exercise price and issuing to Trident II the remaining 11,065,034 shares of Common Stock of AXIS. Fractional shares were cashed out. |
(5) | On April 14, 2011, CPF exercised a warrant to purchase 473,264 shares of Common Stock of AXIS for $12.50 per share. CPF paid the exercise price on a cashless basis, resulting in AXIS's withholding of 163,737 of the warrant shares to satisfy the exercise price and issuing to CPF the remaining 309,527 shares of Common Stock of AXIS. Fractional shares were cashed out. |
(6) | Marsh & McLennan Employees' Securities Company, L.P. ("ESC") has entered into an agreement with Trident II and CPF pursuant to which the parties have agreed to coordinate their disposition of Warrants and shares of Common Stock of AXIS. Mr. Davis disclaims beneficial ownership of Warrants and shares of Common Stock of AXIS that are, or may be deemed to be, beneficially owned by ESC. This report shall not be deemed an admission that Mr. Davis is the beneficial owner of such Warrants or shares of Common Stock of AXIS. |
(7) | Warrants of AXIS were currently exercisable. |