-----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, WcfgG1MkEsDb1EBYIiWY1Cgp5dbFRJDrqA3hzkNp7BpXPbiLCUrJdwirt00UAtqg cLLSdLzBFHqFMz/K1NcaGg== 0001161623-02-000002.txt : 20020415 0001161623-02-000002.hdr.sgml : 20020415 ACCESSION NUMBER: 0001161623-02-000002 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020305 FILED AS OF DATE: 20020311 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: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23481 FILM NUMBER: 02571666 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: SCOPES NIK J CENTRAL INDEX KEY: 0001168169 OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 2802 FOREST GLEN DRIVE CITY: BALDWIN STATE: MD ZIP: 21013 BUSINESS PHONE: 4105577165 MAIL ADDRESS: STREET 1: 12/13 EXCHANGE PLACE STREET 2: DUBLIN 1 CITY: IRELAND STATE: L2 ZIP: 00000 3 1 scopesform3.txt INITIAL FORM 3 NIK SCOPES 1. Name and Address of Reporting Person Scopes, Nik J. 2nd Floor, 12/13 Exchange Place Dublin 1 Ireland Ireland 2. Date of Event Requiring Statement (Month/Day/Year) 03/05/2002 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol ESG Re Limited (ESREF) 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Chief Underwriting Officer 6. If Amendment, Date of Original (Month/Day/Year) 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 Beneficially Owned
+------------------------------------------+----------------------+----------------+-----------------------------------------------+ |1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect Beneficial Ownership | | | Securities | Form: | | | | Beneficially Owned | Direct(D) or | | | | | Indirect(I) | | +------------------------------------------+----------------------+----------------+-----------------------------------------------+
TABLE II -- Derivative Securities Beneficially Owned
+-----------------------+---------------------+---------------------------------+----------+-------------+-------------------------+ |1.Title of Derivative |2.Date Exercisable |3.Title and Amount of Securities |4.Conver- |5.Ownership |6. Nature of Indirect | | Security | and Expiration Date| Underlying Derivative | sion or | Form of | Beneficial Ownership | | | (Month/Day/Year) | Security | Exercise | Derivative | | | +----------+----------+-----------------------+---------+ Price of | Security: | | | | Date | Expira- | |Amount or| Deri- | Direct(D) or| | | | Exer- | tion | Title |Number of| vative | Indirect(I) | | | | cisable | Date | |Shares | Security | | | +-----------------------+----------+----------+-----------------------+---------+----------+-------------+-------------------------+ Stock Options (Right to 02/16/2001 02/16/2011 Common Stock 7500 $2.38 D buy) Stock Options (Right to 04/28/2000 04/28/2010 Common Stock 3000 $3.9 D buy) Explanation of Responses: Option awarded under Company's 1997 Stock Option Plan This option becomes exercisable as follows: 25% on grant date and 25% on each of the 2nd, 3rd and 4th anniversary dates of grant date
SIGNATURE OF REPORTING PERSON /s/ Nik J. Scopes DATE 03/11/2002
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