SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
GROSSMAN KENNETH S

(Last) (First) (Middle)
18 NORFOLK ROAD

(Street)
GREAT NECK NY 11020

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SIGNATURE GROUP HOLDINGS INC [ SGGH.PK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/11/2010
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 100,000 D
Common Stock 06/11/2010 06/11/2010 P 612,500 A $0.8 2,697,772 I Kenneth Grossman Pension Plan
Common Stock 221,301 I Grossman Family Limited Partnership
Common Stock 390,000 I Kenneth Grossman IRA
Common Stock 06/11/2010 06/11/2010 P 475,000(1) A $0.8 475,000(1) I Partnership
Common Stock 06/11/2010 06/11/2010 P 237,500 A $0.8 237,500 I Jeanne Grossman - Mother
Trust Originated Preferred Securities 9% 06/11/2010 07/16/2010 J/K(2) 27,995(2) D $24.78(3) 0(2) I Kenneth Grossman Pension Plan
Common Stock 06/11/2010 06/25/2010 J/K(2) 146,974(2) A $0.72(4) 146,974(2) I Kenneth Grossman Pension Plan
Note @ 9% 06/11/2010 07/16/2010 J/K(2) 54.59(2) A $5,000(5) 54.59(2) I Kenneth Grossman Pension Plan
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants $1.03 06/01/2010 06/11/2010 P 620,000(6) 06/11/2010 06/11/2020 Signature Group Holdings, Inc. - Common Shares 620,000(6) $0.02 3,100,000(6) D
Warrants $1.03 06/11/2010 06/11/2010 P 620,000(6) 06/11/2011 06/11/2020 Signature Group Holdings, Inc. - Common Shares 620,000(6) $0.02 3,100,000(6) D
Warrants $1.03 06/11/2010 06/11/2010 P 620,000(6) 06/11/2012 06/11/2020 Signature Group Holdings, Inc. - Common Shares 620,000(6) $0.02 3,100,000(6) D
Warrants $1.03 06/11/2010 06/11/2010 P 620,000(6) 06/11/2013 06/11/2020 Signature Group Holding, Inc. - Common Shares 620,000(6) $0.02 3,100,000(6) D
Warrants $1.03 06/11/2010 06/11/2010 P 620,000(6) 06/11/2014 06/11/2020 Signature Group Holding, Inc. - Common Shares 620,000(6) $0.02 3,100,000(6) D
Explanation of Responses:
1. On June 11, 2010 Atlantic Beach Partners purchased 475,000 common shares of Signature Group Holdings, Inc (SGGH.PK) at $0.80 per share. Kenneth Grossman is a partner in Atlantic Beach with his brother.
2. On June 11, 2010, pursuant to a Chapter 11 Plan of Reorganization of Fremont General Corporation, the Kenneth Grossman Pension Plan exchanged 27,995 shares of Trust Originated Preferred Securities (TOPrS) for cash of $11.25 per TOPrS share, 5.25 common shares of Signature Group Holdings, Inc. (SGGH.PK) per TOPrS share and 9% Notes of $9.75 in principal per TOPrS share in denonimations of $5,000.
3. The TOPrS disposition price per share on conversion is calculated as follows: Cash of $11.25 per TOPrS share + Notes of $9.75 in principal per TOPrS share + $3.78 (5.25 Common Shares per TOPrS share @ $.72 per common share) = $24.78
4. The Closing Price of SGGH.PK on the Plan effective date of June 11, 2010 was $.72
5. The Notes acquisition price is based on denominations of $5,000 units @ $9.75 in prinicpal per TOPrS share. (27,995 x 9.75) / $5,000 = 54.59 Notes in denominations of $5,000 each.
6. On June 11, 2010, Kenneth Grossman acquired 3,100,000 Warrants for $0.02 per warrant share to purchase common shares in Signature Group Holdings, Inc. (SGGH.PK) at $1.03 per share. The Warrants vest as to common stock as follows: 20% on the Effective Date June 11, 2010, and 20% each year in annual installments thereafter until the Warrants are fully vested on the fourth anniversary date of the Effective Date.
/s/ Kenneth Grossman 08/02/2010
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
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