0001179110-13-017029.txt : 20131125 0001179110-13-017029.hdr.sgml : 20131125 20131125173858 ACCESSION NUMBER: 0001179110-13-017029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131122 FILED AS OF DATE: 20131125 DATE AS OF CHANGE: 20131125 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MONTPELIER RE HOLDINGS LTD CENTRAL INDEX KEY: 0001165880 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 980428969 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: MONTPELIER HOUSE STREET 2: 94 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM 08 BUSINESS PHONE: 441 296 5550 MAIL ADDRESS: STREET 1: MONTPELIER HOUSE STREET 2: 94 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM 08 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Keizer Henry CENTRAL INDEX KEY: 0001592177 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31468 FILM NUMBER: 131241949 MAIL ADDRESS: STREET 1: MONTPELIER HOUSE STREET 2: 94 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM 08 4 1 edgar.xml FORM 4 - X0306 4 2013-11-22 0 0001165880 MONTPELIER RE HOLDINGS LTD MRH 0001592177 Keizer Henry C/O MONTPELIER HOUSE 94 PITTS BAY ROAD PEMBROKE D0 HM08 BERMUDA 1 0 0 0 Preferred Shares, Series A 2013-11-22 2013-11-22 4 P 0 1575 27 A 2342 D Common Shares 0 D Restricted Share Units 0 D /s/ Jonathan B. Kim, attorney in fact 2013-11-23