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*
Keogh John W

(Last) (First) (Middle)
THE CHUBB BUILDING
17 WOODBOURNE AVENUE

(Street)
HAMILTON D0 HM 08

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Chubb Ltd [ CB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President & COO
3. Date of Earliest Transaction (Month/Day/Year)
12/03/2021
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 Shares 12/03/2021 M 28,494 A $85.39 240,864 D
Common Shares 12/03/2021 S 28,494 D $181.23(1) 212,370 D
Common Shares 12/03/2021 M 1,171 A $85.39 213,541 D
Common Shares 12/03/2021 F 327(2) D $180.93(3) 213,214 D
Common Shares 12/03/2021 F 225(2) D $180.73(3) 212,989 D
Common Shares 12/03/2021 G V 1,700 D $0.00 211,289 D
Common Shares 2,658.66 I By Daughter's Trust
Common Shares 2,659.67 I By Daughter's Trust
Common Shares 2,659.67 I By Daughter's Trust
Common Shares 68,786 I By Trust
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
Options to Acquire Common Shares $85.39 12/03/2021 M 28,494 (4) 02/28/2023 Common Shares 28,494 $0.00 258,400(5) D
Options to Acquire Common Shares $85.39 12/03/2021 M 1,171 (4) 02/28/2023 Common Shares 1,171 $0.00 257,229(5) D
Explanation of Responses:
1. The Common Shares reported herein as being sold were sold at a range of between $180.925 and $181.44 per share. The sale price reported above represents the weighted average sale price for the reported transaction and has been rounded to the nearest cent. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within such price range.
2. Represents the payment of the exercise price and withholding taxes of an employee stock option through the attestation of previously owned shares.
3. The price is equal to the fair market value of the Common Shares on the date of exercise and is used to determine the value of the shares delivered to the Company by attestation of previously owned shares in payment of the exercise price and withholding taxes.
4. Options vested as follows: 1/3 on February 28, 2014, 1/3 on February 28, 2015 and 1/3 on February 28, 2016.
5. Total includes options from other tranches with different exercise prices, vesting dates and expiration dates.
Remarks:
/s/ Samantha Froud, Attorney-in-fact 12/07/2021
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.