0001567619-19-019348.txt : 20191008 0001567619-19-019348.hdr.sgml : 20191008 20191008161956 ACCESSION NUMBER: 0001567619-19-019348 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190316 FILED AS OF DATE: 20191008 DATE AS OF CHANGE: 20191008 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Madhu Sanjay CENTRAL INDEX KEY: 0001439935 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36346 FILM NUMBER: 191142881 MAIL ADDRESS: STREET 1: 425 EAST DAVIS BLVD. CITY: TAMPA STATE: FL ZIP: 33606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OXBRIDGE RE HOLDINGS Ltd CENTRAL INDEX KEY: 0001584831 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981150254 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: STRATHVALE HOUSE, 2ND FLOOR, PO BOX 469 STREET 2: 90 NORTH CHURCH STREET CITY: GEORGETOWN STATE: E9 ZIP: KY1-9006 BUSINESS PHONE: 345-749-7570 MAIL ADDRESS: STREET 1: STRATHVALE HOUSE, 2ND FLOOR, PO BOX 469 STREET 2: 90 NORTH CHURCH STREET CITY: GEORGETOWN STATE: E9 ZIP: KY1-9006 4 1 doc1.xml FORM 4 X0306 4 2019-03-16 0 0001584831 OXBRIDGE RE HOLDINGS Ltd OXBR 0001439935 Madhu Sanjay STRATHVALE HOUSE, 2ND FLOOR 90 NORTH CHURCH STREET, P.O. BOX 469 GRAND CAYMAN E9 KY1-9006 CAYMAN ISLANDS 1 1 0 0 CEO, President Ordinary Shares 115231 I See Footnote Ordinary Shares 40000 D Share Options (right to buy) 2.00 2019-03-16 4 A 0 200000 0 A 2029-03-16 Ordinary Shares 200000 200000 D Share Options (right to buy) 6.06 2027-01-20 Ordinary Shares 25000 25000 D Share Options (right to buy) 6 2025-01-23 Ordinary Shares 120000 120000 D Share Options (right to buy) 6 2026-01-16 Ordinary Shares 25000 25000 D Warrants 7.5 2018-05-31 Ordinary Shares 105000 105000 I See Footnote Warrants 7.5 2019-03-31 Ordinary Shares 98768 98768 I See Footnote Shares indirectly held in the name of Universal Finance and Investments, L.C. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of the reporting person's pecuniary interest in such securities. This option grant was previously reported on a Form 8-K filed by the issuer on March 21, 2019. These share options vest in increments of 6.25% each on a quarterly basis, commencing on the date granted, and continuing on April 1st, July 1st, October 1st and January 1st of each calendar year, over a four-year period. Immediately exercisable. /s/ Curt P. Creely, Attorney-in-Fact for Sanjay Madhu 2019-10-08