-----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, NuUBFbSyE8N/bxaNHJNMegzwMiJBr2VsI1zxshJW9VaOFaoAerKmvHPVch8BpXka jDN8JwsGX2kHHQb2p38ntw== 0001209191-09-010455.txt : 20090219 0001209191-09-010455.hdr.sgml : 20090219 20090219164808 ACCESSION NUMBER: 0001209191-09-010455 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090209 FILED AS OF DATE: 20090219 DATE AS OF CHANGE: 20090219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WATSA V PREM ET AL CENTRAL INDEX KEY: 0000938869 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622183 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIXTY TWO INVESTMENT CO LTD CENTRAL INDEX KEY: 0001217251 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622181 BUSINESS ADDRESS: STREET 1: 1600 CATHEDRAL PLACE STREET 2: 925 WEST GEORGIA ST CITY: VANCOUVER BC CANADA STATE: A1 ZIP: V6C3L3 MAIL ADDRESS: STREET 1: 1600 CATHEDRAL PLACE STREET 2: 925 W GEORGIA ST CITY: VANCOUVER BC CANADA STATE: A1 ZIP: V6C3L3 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: 1109519 ONTARIO LTD CENTRAL INDEX KEY: 0001275993 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622182 BUSINESS ADDRESS: STREET 1: FAIRFAX FINANCIAL HOLDINGS STREET 2: 95 WELLINGTON ST W STE 800 CITY: TORONTO ONTARIO CANADA STATE: A6 ZIP: 00000 BUSINESS PHONE: 4163669544 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: USG CORP CENTRAL INDEX KEY: 0000757011 STANDARD INDUSTRIAL CLASSIFICATION: CONCRETE GYPSUM PLASTER PRODUCTS [3270] IRS NUMBER: 363329400 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 550 WEST ADAMS STREET STREET 2: DEPARTMENT 188 CITY: CHICAGO STATE: IL ZIP: 60661 BUSINESS PHONE: 312-606-4000 MAIL ADDRESS: STREET 1: DEPARTMENT #188 STREET 2: 550 WEST ADAMS STREET CITY: CHICAGO STATE: IL ZIP: 60661 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: UNITED STATES FIRE INSURANCE CO CENTRAL INDEX KEY: 0000101618 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622175 BUSINESS ADDRESS: STREET 1: 305 MADISON AVENUE STREET 2: PO BOX 1943 CITY: MORRISTOWN STATE: NJ ZIP: 07962 BUSINESS PHONE: 9734906600 MAIL ADDRESS: STREET 1: 305 MADISON AVENUE STREET 2: PO BOX 1943 CITY: MORRISTOWN STATE: NJ ZIP: 07962 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FAIRFAX FINANCIAL HOLDINGS LTD/ CAN CENTRAL INDEX KEY: 0000915191 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622184 BUSINESS ADDRESS: STREET 1: 95 WELLINGTON ST WEST STREET 2: STE 800 CITY: TORONTO ONTARIO CANA STATE: A6 BUSINESS PHONE: 4163674941 MAIL ADDRESS: STREET 1: FAIRFAX FINANCIAL HOLDINGS LTD STREET 2: 95 WELLINGTON ST WEST STE 800 CITY: TORONTO ONTARIO CANA STATE: A6 FORMER NAME: FORMER CONFORMED NAME: FAIRFAX FINANCIAL HOLDINGS LTD DATE OF NAME CHANGE: 19931122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: 810679 ONTARIO LTD CENTRAL INDEX KEY: 0001275986 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622180 BUSINESS ADDRESS: STREET 1: 95 WELLINGTON STREET WEST SUITE 800 CITY: TORONTO ONTARIO CANADA STATE: A6 ZIP: 00000 BUSINESS PHONE: 4163674941 MAIL ADDRESS: STREET 1: 95 WELLINGTON STREET WEST SUITE 800 CITY: TORONTO ONTARIO CANADA STATE: A6 ZIP: 00000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Northbridge Financial CORP CENTRAL INDEX KEY: 0001368588 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622179 BUSINESS ADDRESS: STREET 1: 105 ADELAIDE STREET WEST STREET 2: 7TH FLOOR CITY: TORONTO STATE: A6 ZIP: M5H 1P9 BUSINESS PHONE: 416.350.4300 MAIL ADDRESS: STREET 1: 105 ADELAIDE STREET WEST STREET 2: 7TH FLOOR CITY: TORONTO STATE: A6 ZIP: M5H 1P9 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fairfax (Barbados) International Corp. CENTRAL INDEX KEY: 0001450019 STATE OF INCORPORATION: C8 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622176 BUSINESS ADDRESS: STREET 1: C/O FAIRFAX FINANCIAL HOLDINGS LIMITED STREET 2: 95 WELLINGTON STREET WEST, SUITE 800 CITY: TORONTO STATE: A6 ZIP: M5J 2N7 BUSINESS PHONE: (416) 367-4941 MAIL ADDRESS: STREET 1: C/O FAIRFAX FINANCIAL HOLDINGS LIMITED STREET 2: 95 WELLINGTON STREET WEST, SUITE 800 CITY: TORONTO STATE: A6 ZIP: M5J 2N7 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Falcon Insurance Co (Hong Kong) Ltd CENTRAL INDEX KEY: 0001452298 STATE OF INCORPORATION: K3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622177 BUSINESS ADDRESS: STREET 1: 6/F., DCH COMMERCIAL CENTRE STREET 2: 25 WESTLANDS ROAD, QUARRY BAY CITY: HONG KONG STATE: K3 ZIP: NA BUSINESS PHONE: 852-2232-2119 MAIL ADDRESS: STREET 1: 6/F., DCH COMMERCIAL CENTRE STREET 2: 25 WESTLANDS ROAD, QUARRY BAY CITY: HONG KONG STATE: K3 ZIP: NA REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LOMBARD GENERAL INSURANCE CO OF CANADA CENTRAL INDEX KEY: 0001276008 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08864 FILM NUMBER: 09622178 BUSINESS ADDRESS: STREET 1: 105 ADELAIDE ST W 7TH FL CITY: TORONTO ONTARIO CANADA STATE: A6 ZIP: 00000 BUSINESS PHONE: 4163647800 MAIL ADDRESS: STREET 1: 105 ADELAIDE ST W 7TH FL CITY: TORONTO ONTARIO CANADA STATE: A6 ZIP: 00000 3 1 c81343_3x0.xml MAIN DOCUMENT DESCRIPTION X0203 3 2009-02-09 0 0000757011 USG CORP USG 0000915191 FAIRFAX FINANCIAL HOLDINGS LTD/ CAN 95 WELLINGTON STREET WEST SUITE 800 TORONTO A6 M5J 2N7 ONTARIO, CANADA 0 0 1 0 0000938869 WATSA V PREM ET AL 95 WELLINGTON STREET WEST SUITE 800 TORONTO A6 M5J 2N7 ONTARIO, CANADA 0 0 1 0 0001275993 1109519 ONTARIO LTD 95 WELLINGTON STREET WEST SUITE 800 TORONTO A6 M5J 2N7 ONTARIO, CANADA 0 0 1 0 0001217251 SIXTY TWO INVESTMENT CO LTD 1600 CATHEDRAL PLACE 925 WEST GEORGIA ST. VANCOUVER A1 V6C 3L3 BRITISH COLUMBIA, CANADA 0 0 1 0 0001275986 810679 ONTARIO LTD 95 WELLINGTON STREET WEST SUITE 800 TORONTO A6 M5J 2N7 ONTARIO, CANADA 0 0 1 0 0001368588 Northbridge Financial CORP 105 ADELAIDE STREET WEST 7TH FLOOR TORONTO A6 M5H 1P9 ONTARIO, CANADA 0 0 1 0 0001276008 LOMBARD GENERAL INSURANCE CO OF CANADA 105 ADELAIDE STREET WEST 3RD FLOOR TORONTO A6 M5H 1P9 ONTARIO, CANADA 0 0 1 0 0001452298 Falcon Insurance Co (Hong Kong) Ltd 6/F., DCH COMMERCIAL CENTRE, 25 WESTLANDS ROAD, QUARRY BAY K3 HONG KONG 0 0 1 0 0001450019 Fairfax (Barbados) International Corp. C/O FAIRFAX FINANCIAL HOLDINGS LIMITED 95 WELLINGTON STREET WEST, SUITE 800 TORONTO A6 M5J 2N7 ONTARIO, CANADA 0 0 1 0 0000101618 UNITED STATES FIRE INSURANCE CO 305 MADISON AVENUE MORRISTOWN NJ 07962 0 0 1 0 Common Stock, $0.10 par value (?Shares?) 7111500 I see footnote 10% Contingent Convertible Senior Notes due 2018 (?Notes?) 2009-02-09 Common Stock, $0.10 par value 8771930 I see footnote 4,518,600 Shares are held by Odyssey America Reinsurance Corporation, 2,379,900 Shares are held by United States Fire Insurance Company, 32,800 Shares are held by Lombard General Insurance Company of Canada and 180,200 Shares are held by pension plans of certain subsidiaries of Fairfax Financial Holdings Limited. The Notes are convertible into Shares at the option of the holder thereof at any time prior to the close of business on the business day immediately preceding December 1, 2018, the maturity date of the Notes. The Notes are convertible into Shares based on an initial conversion price of $11.40 per Share, subject to adjustment under certain circumstances. $50,000,000 aggregate principal amount of Notes is held by Fairfax (Barbados) International Corp., $23,000,000 aggregate principal amount of Notes is held by Odyssey America Reinsurance Corporation, $23,000,000 aggregate principal amount of Notes is held by United States Fire Insurance Company, $1,000,000 aggregate principal amount of Notes is held by Falcon Insurance Company (Hong Kong) Limited and $3,000,000 aggregate principal amount of Notes is held by the pension plans of certain subsidiaries of Fairfax Financial Holdings Limited. /s/ Paul Rivett, Vice President 2009-02-19 /s/ V. Prem Watsa 2009-02-19 /s/ V. Prem Watsa, President 2009-02-19 /s/ V. Prem Watsa, President 2009-02-19 /s/ V. Prem Watsa, President 2009-02-19 /s/ Craig Pinnock, Chief Financial Officer 2009-02-19 /s/ Craig Pinnock, Director 2009-02-19 /s/ Sammy Chan, Director 2009-02-19 /s/ Ronald Schokking, Chairman 2009-02-19 /s/ Paul Bassaline, Vice President 2009-02-19 -----END PRIVACY-ENHANCED MESSAGE-----