-----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, FZkGiZ5Mg2Iv/X56pIDwgUNkqzUYafOndDohE+yGjDXocYNFOaG5I0UW9rgXgloF iXQXpSgzDNqBMPPabFURFA== 0001179110-05-000309.txt : 20050104 0001179110-05-000309.hdr.sgml : 20050104 20050104165307 ACCESSION NUMBER: 0001179110-05-000309 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050104 DATE AS OF CHANGE: 20050104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORRESTER W THOMAS CENTRAL INDEX KEY: 0001198112 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31721 FILM NUMBER: 05508317 MAIL ADDRESS: STREET 1: 6300 WILSON MILLS ROAD CITY: MAYFIELD VILLAGE STATE: OH ZIP: 44143 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 - X0202 4 2004-12-31 0 0001214816 AXIS CAPITAL HOLDINGS LTD AXS 0001198112 FORRESTER W THOMAS C/O AXIS CAPITAL HOLDINGS LIMITED 106 PITTS BAY ROAD PEMBROKE D0 HM 08 BERMUDA 1 0 0 0 Phantom Stock 2004-12-31 4 A 0 539 A Common Shares 539 539 D Phantom Stock 2005-01-03 4 A 0 728 A Common Shares 728 728 D Stock Option for Common Shares 27.45 2005-01-03 4 A 0 8000 A 2006-01-03 2015-01-03 Common Shares 8000 8000 D Phantom Stock 2005-01-03 4 A 0 2150 A Common Shares 2150 2150 D Phantom stock represents common shares issued in lieu of directors' fees that have been deferred using the closing sale price on December 31, 2004 of $27.35 per share. Phantom stock is generally distributed when service as a director ceases. Phantom stock represents restricted shares issued in lieu of directors' fees that have been deferred using the closing sale price on January 3, 2005 of $27.45 per share. Option vests in three equal installments on the first, second and third anniversaries of the dte of grant. Option issued as directors' fees. Phantom stock represents common shares issued in lieu of directors' fees that have been deferred using the closing sale price on January 3, 2005 of $27.45 per share. Carol S. Rivers, Attorney in Fact 2005-01-04 -----END PRIVACY-ENHANCED MESSAGE-----