0001412100-23-000015.txt : 20230106 0001412100-23-000015.hdr.sgml : 20230106 20230106160815 ACCESSION NUMBER: 0001412100-23-000015 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221227 FILED AS OF DATE: 20230106 DATE AS OF CHANGE: 20230106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maiden Holdings, Ltd. CENTRAL INDEX KEY: 0001412100 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34042 FILM NUMBER: 23515140 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maiden Reinsurance Ltd CENTRAL INDEX KEY: 0001960757 STATE OF INCORPORATION: VT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34042 FILM NUMBER: 23515142 BUSINESS ADDRESS: STREET 1: 159 BANK STREET STREET 2: 4TH FLOOR CITY: BURLINGTON STATE: VT ZIP: 05401 BUSINESS PHONE: 856-359-2400 MAIL ADDRESS: STREET 1: 159 BANK STREET STREET 2: 4TH FLOOR CITY: BURLINGTON STATE: VT ZIP: 05401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAIDEN HOLDINGS NORTH AMERICA, LTD. CENTRAL INDEX KEY: 0001512303 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34042 FILM NUMBER: 23515141 BUSINESS ADDRESS: STREET 1: 6000 MIDLANTIC DRIVE STREET 2: SUITE 200S CITY: MOUNT LAUREL STATE: NJ ZIP: 08054 BUSINESS PHONE: 856 359 2400 MAIL ADDRESS: STREET 1: 6000 MIDLANTIC DRIVE STREET 2: SUITE 200S CITY: MOUNT LAUREL STATE: NJ ZIP: 08054 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 3 1 wf-form3_167303927278428.xml FORM 3 X0206 3 2022-12-27 0 0001412100 Maiden Holdings, Ltd. MHLD 0001960757 Maiden Reinsurance Ltd 159 BANK STREET 4TH FLOOR BURLINGTON VT 05401 0 0 1 0 0001512303 MAIDEN HOLDINGS NORTH AMERICA, LTD. 228 PARK AVE. S SUITE 25931 NEW YORK NY 10003-1502 0 0 1 0 0001412100 Maiden Holdings, Ltd. 94 PITTS BAY ROAD PEMBROKE D0 HM 08 BERMUDA 0 0 1 0 Common Shares 41439348 D 1.These securities are held directly by Maiden Reinsurance Ltd. ("MRL"), which is a wholly-owned subsidiary of Maiden Holdings North America, Ltd. ("MHNA"), which is a wholly-owned subsidiary of Maiden Holdings, Ltd. (the "Issuer" and, together with MRL and MHNA, the "Reporting Persons"). Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein for purposes of Rule 16a-1(a) under the Securities Exchange Act of 1934, as amended ("the Act"), except to the extent of its pecuniary interest therein, and the filing of this report shall not be deemed an admission that any of the Reporting Persons is the beneficial owner of the securities for purposes of Section 16 of the Act or for any other purpose. Maiden Reinsurance Ltd., By: Maiden Holdings North America, Ltd., By: Maiden Holdings, Ltd., /s/ Lawrence F. Metz, President and Co-Chief Executive Officer Maiden Holdings North America Ltd., By: Maiden Holdings, Ltd., /s/ Lawrence F. Metz, President and Co-Chief Executive Officer Maiden Holdings, Ltd., /s/ Lawrence F. Metz, President and Co-Chief Executive Officer Lawrence Metz 2023-01-06