-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, M0RInepU5DwD9hRhCOobLhTdBc0L+BWD2XpSfsJc5lKKoJmX3C3JxLQN+ogMO1YS J1+IZ05wRx/6laF4abs5Rw== 0001019056-10-001250.txt : 20101112 0001019056-10-001250.hdr.sgml : 20101111 20101112165411 ACCESSION NUMBER: 0001019056-10-001250 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20101112 DATE AS OF CHANGE: 20101112 GROUP MEMBERS: MATTHEW T. HINSHAW FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Hinshaw Matthew Taylor CENTRAL INDEX KEY: 0001505642 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: PO BOX 7468 CITY: MENLO PARK STATE: CA ZIP: 94025-9992 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Majestic Capital, Ltd. CENTRAL INDEX KEY: 0001338949 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-81257 FILM NUMBER: 101187512 BUSINESS ADDRESS: STREET 1: PO BOX HM 2062 CITY: HAMILTON STATE: D0 ZIP: HM HX BUSINESS PHONE: 441-295-2185 MAIL ADDRESS: STREET 1: PO BOX HM 2062 CITY: HAMILTON STATE: D0 ZIP: HM HX FORMER COMPANY: FORMER CONFORMED NAME: CRM Holdings, Ltd. DATE OF NAME CHANGE: 20050916 SC 13G 1 majestic_13g.htm SCHEDULE 13G. Unassociated Document
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
SCHEDULE 13G
 
Under the Securities Exchange Act of 1934
(Amendment No. ________)*
 
Majestic Capital, Ltd.
(Name of Issuer)
 
Common Shares, $0.01 par value per share
(Title of Class of Securities)
 
G5760D111
(CUSIP Number)
 
Matthew T. Hinshaw
PO Box 7468
Menlo Park, CA 94025-9992
(650) 561-3282
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
 
November 4, 2010
(Date of Event which Requires Filing of this Statement)
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
o
Rule 13d-1(b)
x
Rule 13d-1(c)
o
Rule 13d-1(d)
 
* The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
 
The information required on the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
 

 
 

 
CUSIP No. G5760D111
 
13G
 
Page 2 of 6 Pages
 
 1.
NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
 
Matthew T. Hinshaw
 2.
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(see instructions)
(a)    o
(b)    o
 3.
SEC USE ONLY
 
 4.
CITIZENSHIP OR PLACE OF ORGANIZATION
 
United States
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
5.
SOLE VOTING POWER
 
109,792  
 
6.
SHARED VOTING POWER
 
0
 
7.
SOLE DISPOSITIVE POWER 
 
109,792
 
8.
SHARED DISPOSITIVE POWER
 
0
 
 9.
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
109,792
10.
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(see instructions)    ¨
 
11.
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
6.59%
12.
TYPE OF REPORTING PERSON (see instructions)
 
IN
 
 
 

 
 

 
CUSIP No. G5760D111
 
13G
 
Page 3 of 6 Pages
 
Item 1.
   
     
(a)
 
Name of Issuer
   
Majestic Capital, Ltd.
     
(b)
 
Address of Issuer’s Principal Executive Offices
   
P.O. Box HM 2062, Hamilton HM HX, Bermuda
 
Item 2.    
     
(a)
 
Name of Person Filing
   
Matthew T. Hinshaw
     
(b)
 
Address of the Principal Office or, if none, residence
   
PO Box 7468, Menlo Park, CA 94025-9992
     
(c)
 
Citizenship
   
United States
     
(d)
 
Title of Class of Securities
   
Common Shares, $0.01 par value per share
     
(e)
 
CUSIP Number
   
G5760D111
 
Item 3.  If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
 
(a)
¨
Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
     
(b)
¨
Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
     
(c)
¨
Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).
     
(d)
¨
Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).
     
(e)
¨
An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
     
(f)
¨
An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);
     
(g)
¨
A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);
 
 
 

 
 
(h)
¨
A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
     
(i)
¨
A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
     
(j)
¨
Group, in accordance with §240.13d-1(b)(1)(ii)(J).
 
Item 4.  Ownership.
 
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
 
(a)
 
Amount beneficially owned:  109,792
       
(b)
 
Percent of class:  6.59%
       
(c)
 
Number of shares as to which the person has:  
       
   
(i)
Sole power to vote or to direct the vote 109,792
       
   
(ii)
Shared power to vote or to direct the vote 0
       
   
(iii)
Sole power to dispose or to direct the disposition of 109,792
       
   
(iv)
Shared power to dispose or to direct the disposition of 0
 
Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d-3(d)(1).
 
Item 5.  Ownership of Five Percent or Less of a Class.
 
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following  ¨.
 
Instruction. Dissolution of a group requires a response to this item.
 
Item 6.  Ownership of More than Five Percent on Behalf of Another Person.
 
Item 7.  Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
 
Item 8.  Identification and Classification of Members of the Group.
 
Item 9.  Notice of Dissolution of Group.
 
 
 

 
 
Item 10.  Certification.
 
(a)
 
The following certification shall be included if the statement is filed pursuant to §240.13d-1(b):
     
   
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
     
(b)
 
The following certification shall be included if the statement is filed pursuant to §240.13d-1(c):
     
   
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
 
 
 

 
 

 
CUSIP No. G5760D111
 
13G
 
Page 6 of 6 Pages
 
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
 
 
11/09/2010
 
Date
   
 
/s/ Matthew T. Hinshaw
 
Signature
   
 
Matthew T. Hinshaw
 
Name/Title

 
 

 
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