0001209191-20-053261.txt : 20201002 0001209191-20-053261.hdr.sgml : 20201002 20201002171957 ACCESSION NUMBER: 0001209191-20-053261 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200930 FILED AS OF DATE: 20201002 DATE AS OF CHANGE: 20201002 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HURWITZ JASON B CENTRAL INDEX KEY: 0001099190 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34809 FILM NUMBER: 201221240 MAIL ADDRESS: STREET 1: 3 BALA PLAZA EAST, SUITE 300 CITY: BALA CYNWYD STATE: PA ZIP: 19004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Global Indemnity Group, LLC CENTRAL INDEX KEY: 0001494904 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981304287 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3 BALA PLAZA EAST STREET 2: SUITE 300 CITY: BALA CYNWYD STATE: PA ZIP: 19004 BUSINESS PHONE: 610-664-1500 MAIL ADDRESS: STREET 1: 3 BALA PLAZA EAST STREET 2: SUITE 300 CITY: BALA CYNWYD STATE: PA ZIP: 19004 FORMER COMPANY: FORMER CONFORMED NAME: Global Indemnity Ltd DATE OF NAME CHANGE: 20161107 FORMER COMPANY: FORMER CONFORMED NAME: Global Indemnity plc DATE OF NAME CHANGE: 20100622 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-09-30 0 0001494904 Global Indemnity Group, LLC GBLI 0001099190 HURWITZ JASON B 3 BALA PLAZA EAST, SUITE 300 BALA CYNWYD PA 19004 1 0 0 0 Class A Common Shares 2020-09-30 4 A 0 3321 22.58 A 96610 D Class A Common Shares 4080 I See Footnote Represents a grant from the Issuer's share incentive plan of vested A Common Shares in recognition of services rendered as a board member of the Issuer and GBLI Holdings, LLC, an indirect, wholly owned subsidiary of the Issuer. Shares held by Hurwitz Capital LLC. The sole member of Hurwitz Capital LLC is Jason B. Hurwitz. /s/Stephen W. Ries - Attorney-in-Fact 2020-10-02