0001209191-16-102085.txt : 20160224 0001209191-16-102085.hdr.sgml : 20160224 20160224191858 ACCESSION NUMBER: 0001209191-16-102085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160222 FILED AS OF DATE: 20160224 DATE AS OF CHANGE: 20160224 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Allied World Assurance Co Holdings, AG CENTRAL INDEX KEY: 0001163348 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PARK TOWER, 15TH FLOOR STREET 2: GUBELSTRASSE 24 CITY: ZUG STATE: V8 ZIP: 6300 BUSINESS PHONE: 441-278-5400 MAIL ADDRESS: STREET 1: PARK TOWER, 15TH FLOOR STREET 2: GUBELSTRASSE 24 CITY: ZUG STATE: V8 ZIP: 6300 FORMER COMPANY: FORMER CONFORMED NAME: ALLIED WORLD ASSURANCE CO HOLDINGS LTD DATE OF NAME CHANGE: 20060615 FORMER COMPANY: FORMER CONFORMED NAME: ALLIED WORLD ASSURANCE HOLDINGS LTD DATE OF NAME CHANGE: 20011207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carmilani Scott A CENTRAL INDEX KEY: 0001368443 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32938 FILM NUMBER: 161453504 MAIL ADDRESS: STREET 1: ALLIED WORLD ASSURANCE CO HOLDINGS, LTD STREET 2: 43 VICTORIA STREET CITY: HAMILTON STATE: D0 ZIP: HM 12 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-22 0 0001163348 Allied World Assurance Co Holdings, AG AWH 0001368443 Carmilani Scott A ALLIED WORLD ASSURANCE CO. HOLDINGS, AG GUBELSTRASSE 24, PARK TOWER, 15TH FLOOR ZUG V8 6300 SWITZERLAND 1 1 0 0 President, CEO and Chairman Common Shares 2016-02-22 4 A 0 69428 0.00 A 1288803 D Common Shares 2016-02-22 4 F 0 38110 31.95 D 1250693 D Common Shares 2016-02-22 4 M 0 16965 0.00 A 1267658 D Common Shares 2016-02-22 4 D 0 13572 31.4723 D 1254086 D Comnmon Shares 2016-02-22 4 F 0 1863 31.95 D 1252223 D Common Shares 139000 I By Trust Restricted Stock Units 2016-02-22 4 A 0 21669 A Common Shares 21669 100828 D Restricted Stock Units 2016-02-22 4 M 0 16965 D Common Shares 16965 83863 D Represents the Company's common shares that were earned pursuant to a 2013 performance-based award for no monetary consideration and which vested at 113% of target based on the achievement of pre-established performance criteria during the applicable three-year performance period established under the Company's Third Amended and Restated 2004 Stock Incentive Plan. Exclusively represents shares withheld by the Company with respect to the payment of withholding tax liability incurred upon the vesting of performance-based awards. On February 22, 2012, the reporting person was granted 67,854 Restricted Stock Units for no monetary consideration. The Restricted Stock Units convert into (i) 13,572 common shares and (ii) cash equal to the market value of 54,282 common shares (measured at the date of vesting) upon the vesting of such Restricted Stock Units. The fair market value of the cash portion was determined using the daily volume-weighted average sales price of the common shares for the five consecutive trading days up to and including February 22, 2016. Exclusively represents shares withheld by the Company with respect to the payment of withholding tax liability incurred upon the vesting of Restricted Stock Units. Represents 139,000 shares held by an irrevocable trust for the benefit of the reporting person's spouse and children. Grant of Restricted Stock Units for no monetary consideration. Restricted Stock Units convert into (i) 17,335 common shares of the Company and (ii) cash equal to the market value of 4,334 common shares (measured at the date of vesting) upon the vesting of such Restricted Stock Units. The Restricted Stock Units vest in four equal installments with the first installment vesting on February 22, 2017. Represents Restricted Stock Units held by the reporting person that vest in whole or in part in cash. The Restricted Stock Units vested in four equal installments with the first installment vesting on February 22, 2013. /s/ Theodore Neos, by Power of Attorney 2016-02-24