-----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, Io7AqSAyylK8+S/Exta0BMzPMPURnJHP5q+NRjCU5bu2ShlwTKAp0J1j5LYKskZq NazeLWze5tTF/v0VHDLESg== 0001161623-01-500002.txt : 20020412 0001161623-01-500002.hdr.sgml : 20020412 ACCESSION NUMBER: 0001161623-01-500002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011130 FILED AS OF DATE: 20011210 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ESG RE LTD CENTRAL INDEX KEY: 0001049624 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23481 FILM NUMBER: 1809317 BUSINESS ADDRESS: STREET 1: SKANDIA INTERNATIONAL HOUSE STREET 2: 16 CHURCH STREET, HAMILTON CITY: BERMUDA STATE: D0 BUSINESS PHONE: 4412952185 MAIL ADDRESS: STREET 1: SKANDIA INTERNATIONAL HOUSE STREET 2: 16 CHURCH STREET CITY: BERMUDA STATE: MA ZIP: 11111 COMPANY DATA: COMPANY CONFORMED NAME: HOBSON ANTHONY JOHN CENTRAL INDEX KEY: 0001162463 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 12/13 EXCHANGE PLACE STREET 2: 1FSC CITY: DUBLIN 1 IRELAND STATE: L2 ZIP: 00000 BUSINESS PHONE: 35316750200 MAIL ADDRESS: STREET 1: 12/13 EXCHANGE PLACE STREET 2: 1FSC CITY: DUBLIN 1 IRELAND STATE: L2 ZIP: 00000 4 1 hobson11-01form4.txt FORM 4 FOR AN INSIDER 1. Name and Address of Reporting Person Hobson, Anthony John 2nd Floor, 12/13 Exchange Place Dublin 1 Ireland Ireland 2. Issuer Name and Ticker or Trading Symbol ESG Re Limited (ESREF) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year 11/2001 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. 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 |2. Trans- |3. Trans- |4. Securities Acquired (A) |5. Amount of |6. Owner- |7. Nature | | | action | action | or Disposed of (D) | Securities | ship | of In- | | | Date | Code | | Beneficially | Form: | direct | | | | | | Owned at | Direct | Bene- | | | (Month/ | | | End of | (D) or | ficial | | | Day/ +-------+-----+-----------+------+----------+ Month | Indirect| Owner- | | | Year) |Code |V |Amount |A/D |Price | | (I) | ship | +---------------------------------+----------+-------+-----+-----------+------+----------+----------------+-----------+------------+
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
+-------------+--------+----------+---------+-----------+---------------------+----------------+----------+--------+-------+-------+ |1. |2. |3. |4. |5. |6. |7. |8. |9. |10. |11. | | | | | | | | | |Number |Owner- | | | | | | | | | | |of |ship | | | | | | | | | | |Deriv- |Form of| | | | | | | | |Title and Amount| |ative |Deriv- | | | | | | | | |of Underlying | |Secur- |ative |Nature | | |Conver- | | |Number of | |Securities | |ities |Secur- |of | | |sion or | | |Derivative |Date Exercisable +-------+--------+ |Benefi- |ity: |In- | | |Exercise| | |Securities |and Expiration Date | |Amount | |cially |Direct |direct | | |Price of|Transac- |Transac- |Acquired(A)|(Month/Day/Year) | |or | |Owned |(D) or |Bene- | |Title of |Deriv- |tion Date |tion Code|Disposed(D)+----------+----------+ |Number |Price of |at End |In- |ficial | |Derivative |ative |(Month/ +------+--+-----+-----+Date Exer-|Expira- | |of |Derivative|of |direct |Owner- | |Security |Security|Day/Year) |Code |V |(A) |(D) |cisable |tion Date |Title |Shares |Security |Month |(I) |ship | +-------------+--------+----------+------+--+-----+-----+----------+----------+-------+--------+----------+--------+-------+-------+ Stock Options $3.135 11/08/2001 A 20000 11/08/2001 11/08/2011 Common 20000 $0.0000 20000 D (Right to buy) Stock Explanation of Responses: Option granted under Non-Management Directors Compensation & Option Plan
SIGNATURE OF REPORTING PERSON /s/ Anthony John Hobson DATE 12/07/2001
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