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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 | (1) | 02/17/2016 | M | 9,308 | (7) | (7) | Common Shares | 9,308 | (1) | 102,694 (8) | D | ||||
Restricted Stock Units | (4) | 02/18/2016 | M | 10,734 | (9) | (9) | Common Shares | 10,734 | (4) | 91,960 (8) | 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/ Theodore Neos, by Power of Attorney | 02/19/2016 | |
**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) | On February 17, 2015, the reporting person was granted 37,233 Restricted Stock Units for no monetary consideration. The 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. |
(2) | 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 17, 2016. |
(3) | Exclusively represents shares withheld by the Company with respect to the payment of withholding tax liability incurred upon the vesting of Restricted Stock Units. |
(4) | 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. |
(5) | 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, 2016. |
(6) | Represents 139,000 shares held by an irrevocable trust for the benefit of the reporting person's spouse and children. |
(7) | The Restricted Stock Units vest in four equal installments with the first installment vesting on February 17, 2016. |
(8) | Represents Restricted Stock Units held by the reporting person that vest in whole or in part in cash. |
(9) | The Restricted Stock Units vest in four equal installments with the first installment vesting on February 18, 2015. |