0001628280-21-023156.txt : 20211112 0001628280-21-023156.hdr.sgml : 20211112 20211112161410 ACCESSION NUMBER: 0001628280-21-023156 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211106 FILED AS OF DATE: 20211112 DATE AS OF CHANGE: 20211112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Haveron Patrick J CENTRAL INDEX KEY: 0001396461 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34042 FILM NUMBER: 211403641 MAIL ADDRESS: STREET 1: 120 BROADWAY CITY: NEW YORK STATE: NY ZIP: 10271 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Maiden Holdings, Ltd. CENTRAL INDEX KEY: 0001412100 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: SCHRODERS HOUSE STREET 2: 131 FRONT STREET CITY: HAMILTON STATE: D0 ZIP: HM 12 BUSINESS PHONE: (441) 295-5225 MAIL ADDRESS: STREET 1: 48 PAR-LA-VILLE ROAD STREET 2: SUITE 1141 CITY: HAMILTON STATE: D0 ZIP: -HM 11 4 1 wf-form4_163675162353434.xml FORM 4 X0306 4 2021-11-06 0 0001412100 Maiden Holdings, Ltd. MHLD 0001396461 Haveron Patrick J C/O MAIDEN HOLDINGS, LTD. IDEATION HOUSE, 2ND FL, 94 PITTS BAY RD. PEMBROKE D0 HM08 BERMUDA 0 1 0 0 CO-CEO & CFO Common Shares 2021-11-06 4 A 0 37279 0 A 1870288 D Common Shares 2021-11-06 4 F 0 13794 3.50 D 1856494 D These restricted common shares were granted on November 6, 2018 with vesting on November 6, 2021. Disposition of common shares resulting from withholding of securities for the payment of tax liability relating to the grant described in footnote 1. CO-CEO & CFO /s/ Patrick J. Haveron 2021-11-12