0001140361-16-069623.txt : 20160613 0001140361-16-069623.hdr.sgml : 20160613 20160613181244 ACCESSION NUMBER: 0001140361-16-069623 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160606 FILED AS OF DATE: 20160613 DATE AS OF CHANGE: 20160613 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OXBRIDGE RE HOLDINGS Ltd CENTRAL INDEX KEY: 0001584831 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981150254 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: GROUND FLOOR, HARBOUR PLACE STREET 2: 103 SOUTH CHURCH STREET CITY: GEORGETOWN STATE: E9 ZIP: KY1-9006 BUSINESS PHONE: 345-749-7570 MAIL ADDRESS: STREET 1: 10 MARKET STREET STREET 2: PO BOX #469 CITY: CAMANA BAY STATE: E9 ZIP: KY1-9006 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Madhu Sanjay CENTRAL INDEX KEY: 0001439935 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36346 FILM NUMBER: 161711694 MAIL ADDRESS: STREET 1: 425 EAST DAVIS BLVD. CITY: TAMPA STATE: FL ZIP: 33606 4/A 1 doc1.xml FORM 4/A X0306 4/A 2016-06-06 2016-06-08 0 0001584831 OXBRIDGE RE HOLDINGS Ltd OXBR 0001439935 Madhu Sanjay STRATHVALE HOUSE, 2ND FLOOR 90 NORTH CHURCH STREET, P.O. BOX 469 GRAND CAYMAN E9 KY1-9006 CAYMAN ISLANDS 1 1 0 0 CEO, President Ordinary Shares 2016-06-06 4 P 0 2000 5.17 A 85231 I See Footnote Ordinary Shares 40000 D Warrants 7.5 2018-05-31 Ordinary Shares 105000 105000 I See Footnote Warrants 7.5 2019-03-31 Ordinary Shares 98768 98768 I See Footnote Share Options (right to buy) 6 2025-01-23 Ordinary Shares 120000 120000 D Share Options (right to buy) 6 2026-01-16 Ordinary Shares 25000 25000 D This amended Form 4 is being filed to restate the Form 4 filed on June 8, 2016 to include all holdings and to correct the total number of ordinary shares held by Universal Finance and Investments, L.C. following the reported transaction. Shares indirectly held in the name of Universal Finance and Investments, L.C. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of the reporting person's pecuniary interest in such securities. Includes restricted shares granted January 23, 2015 that vest in increments of 6.25% each on a quarterly basis over a four-year period, commencing on the date granted, and continuing on April 1st, July 1st, October 1st and January 1st of each calendar year through to December 31, 2018. Immediately exercisable. These share options vest in increments of 6.25% each on a quarterly basis over a four-year period, commencing on the date granted, and continuing on April 1st, July 1st, October 1st and January 1st of each calendar year through to December 31, 2018. /s/ Curt P. Creely, Attorney-in-Fact for Sanjay Madhu 2016-06-13