-----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, F7ZmG+4SKcky1BgOPRr911gIsP5gbtLjaiuPZhCjl5nfFD5QPvkgbzfxgVH4XDwK yWmKNmo6BN6ShwU+gq8kJA== 0001179110-08-017464.txt : 20080930 0001179110-08-017464.hdr.sgml : 20080930 20080930180810 ACCESSION NUMBER: 0001179110-08-017464 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080930 FILED AS OF DATE: 20080930 DATE AS OF CHANGE: 20080930 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FULKERSON ALLAN W CENTRAL INDEX KEY: 0001043316 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31468 FILM NUMBER: 081098175 BUSINESS ADDRESS: BUSINESS PHONE: 6034762218 MAIL ADDRESS: STREET 1: RED HILL CAPITAL STREET 2: 954 WHITTIER HIGHWAY CITY: MOULTONBOROUGH STATE: NH ZIP: 03254 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MONTPELIER RE HOLDINGS LTD CENTRAL INDEX KEY: 0001165880 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 980428969 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: MONTPELIER HOUSE STREET 2: 94 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM 08 BUSINESS PHONE: 441 296 5550 MAIL ADDRESS: STREET 1: MONTPELIER HOUSE STREET 2: 94 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM 08 4 1 edgar.xml FORM 4 - X0303 4 2008-09-30 0 0001165880 MONTPELIER RE HOLDINGS LTD MRH 0001043316 FULKERSON ALLAN W RED HILL CAPITAL 954 WHITTIER HIGHWAY MOULTONBOROUGH NH 03254 1 0 0 0 Common Shares 1580 D Restricted Share Units 5000 D Director Share Units 2008-09-30 2008-09-30 4 A 0 481 16.507 A Common Shares 481 5878 D Director Share Units are phantom shares that are convertible into common shares on a one-to-one basis or an equivalent amount of cash, at the option of the Reporting Person. On September 30, 2008, the Reporting Person's Director Share Unit account was credited with a $7,500 deferred quarterly board retainer and an amount of Director Share Units equal in value to the ordinary dividend earned on the underlying common shares. Director Share Units are payable upon separation from service. /s/ Jonathan B. Kim, attorney in fact 2008-09-30 -----END PRIVACY-ENHANCED MESSAGE-----