-----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, N3Au39QWmAvUHvpKYyiVDARinYIhGBbkUm8lnMramxsgKq18rHhYBg/EVSjQuHvf S+zF9WTPQhy9ifEncz4oHA== 0001179110-04-000383.txt : 20040106 0001179110-04-000383.hdr.sgml : 20040106 20040106111800 ACCESSION NUMBER: 0001179110-04-000383 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040102 FILED AS OF DATE: 20040106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHARMAN JOHN CENTRAL INDEX KEY: 0001072537 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31721 FILM NUMBER: 04508246 BUSINESS ADDRESS: STREET 1: CHARMAN UNDERWRITING #1 MINSTER CRT STREET 2: MINCING LANE LONDON ENGLAND BC3R7AA MAIL ADDRESS: STREET 1: AXIS CAPITAL HOLDINGS LTD STREET 2: 106 PITTS BAY RD CITY: PEMBROKE BERMUDA STATE: D0 ZIP: 99999999 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AXIS CAPITAL HOLDINGS LTD CENTRAL INDEX KEY: 0001214816 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: 106 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: 00000 BUSINESS PHONE: 4412962600 4 1 edgar.xml FORM 4 - X0201 4 2004-01-02 0 0001214816 AXIS CAPITAL HOLDINGS LTD AXS 0001072537 CHARMAN JOHN C/O AXIS CAPITAL HOLDINGS LIMITED 106 PITTS BAY ROAD PEMBROKE D0 HM 08 BERMUDA 1 1 0 0 CEO, Pres & Deputy Chairman Common Shares 2004-01-02 4 A 0 80000 A 2883576 D Employee Stock Option 29.62 2004-01-02 4 A 0 130000 A 2005-01-02 2014-01-02 Common Shares 130000 80000 D Grant of Restricted Stock. Includes 402,164 shares held directly, 1,803,708 shares held by Dragon Holdings Trust and 597,704 shares held by JR Charman Children's Settlement. Mr. Charman disclaims beneficial ownership of the shares held by the trusts. The Employee Stock Option vests in three equal installments commencing on Janaury 2, 2005. Grant of Employee Stock Option. John R. Charman 2004-01-06 -----END PRIVACY-ENHANCED MESSAGE-----