0001209191-17-016656.txt : 20170302 0001209191-17-016656.hdr.sgml : 20170302 20170302163824 ACCESSION NUMBER: 0001209191-17-016656 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170228 FILED AS OF DATE: 20170302 DATE AS OF CHANGE: 20170302 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: 17659430 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 2017-02-28 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 2017-02-28 4 A 0 23699 0.00 A 1283345 D Common Shares 2017-02-28 4 F 0 12201 52.82 D 1271144 D Common Shares 139000 I By Trust Represents the Company's common shares that were earned pursuant to a 2014 performance-based award for no monetary consideration and which vested at 46% of target based on the achievement of pre-established performance criteria during the applicable three-year performance period established under the Company's 2012 Omnibus Incentive Compensation 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. Represents 139,000 shares held by an irrevocable trust for the benefit of the reporting person's spouse and children. /s/ Theodore Neos, by Power of Attorney 2017-03-02