0001582086-18-000019.txt : 20180618 0001582086-18-000019.hdr.sgml : 20180618 20180618161255 ACCESSION NUMBER: 0001582086-18-000019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180615 FILED AS OF DATE: 20180618 DATE AS OF CHANGE: 20180618 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sompo International Holdings Ltd. CENTRAL INDEX KEY: 0001718134 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36169 FILM NUMBER: 18904679 BUSINESS ADDRESS: STREET 1: WATERLOO HOUSE STREET 2: 100 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM08 BUSINESS PHONE: 4412780440 MAIL ADDRESS: STREET 1: WATERLOO HOUSE STREET 2: 100 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM08 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOMPO HOLDINGS, INC. CENTRAL INDEX KEY: 0001458205 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: M0 FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36169 FILM NUMBER: 18904680 BUSINESS ADDRESS: STREET 1: 26-1, NISHI-SHINJUKU 1-CHOME STREET 2: SHINJUKU-KU CITY: TOKYO STATE: M0 ZIP: 160-8338 BUSINESS PHONE: 81-3-3349-3111 MAIL ADDRESS: STREET 1: 26-1, NISHI-SHINJUKU 1-CHOME STREET 2: SHINJUKU-KU CITY: TOKYO STATE: M0 ZIP: 160-8338 FORMER NAME: FORMER CONFORMED NAME: NKSJ Holdings, Inc. DATE OF NAME CHANGE: 20100401 FORMER NAME: FORMER CONFORMED NAME: Sompo Japan Insurance Inc. DATE OF NAME CHANGE: 20090311 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sompo Japan Nipponkoa Insurance Inc. CENTRAL INDEX KEY: 0001651653 STATE OF INCORPORATION: M0 FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36169 FILM NUMBER: 18904681 BUSINESS ADDRESS: STREET 1: 26-1,NISHI-SHINJUKU,1CHOME STREET 2: SHINJUKU-KU CITY: TOKYO STATE: M0 ZIP: 160-8338 BUSINESS PHONE: 81333493111 MAIL ADDRESS: STREET 1: 26-1,NISHI-SHINJUKU,1CHOME STREET 2: SHINJUKU-KU CITY: TOKYO STATE: M0 ZIP: 160-8338 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Capital Reinsurance Holdings Ltd. CENTRAL INDEX KEY: 0001582086 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981120002 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 PITTS BAY RD. CITY: PEMBROKE STATE: D0 ZIP: HM08 BUSINESS PHONE: 4412780400 MAIL ADDRESS: STREET 1: 100 PITTS BAY RD. CITY: PEMBROKE STATE: D0 ZIP: HM08 4 1 wf-form4_152935275763552.xml FORM 4 X0306 4 2018-06-15 0 0001582086 Blue Capital Reinsurance Holdings Ltd. BCRH 0001718134 Sompo International Holdings Ltd. WATERLOO HOUSE 100 PITTS BAY ROAD PEMBROKE D0 HM08 BERMUDA 0 0 1 0 0001458205 SOMPO HOLDINGS, INC. 26-1, NISHI-SHINJUKU 1-CHOME SHINJUKU-KU TOKYO M0 160-8338 JAPAN 0 0 1 0 0001651653 Sompo Japan Nipponkoa Insurance Inc. 26-1, NISHI-SHINJUKU 1-CHOME SHINJUKU-KU TOKYO M0 160-8338 JAPAN 0 0 1 0 Common Shares 2018-06-15 4 M 0 1811 10.10 A 414269 D Common Shares 2500000 I See Footnote Restricted Share Units 2018-06-15 4 M 0 1811 0 D Common Shares 1811.0 2217 D Restricted Share Units 2018-06-15 4 J 0 4256 0 A Common Shares 4256.0 6473 D Owned by Endurance Specialty Insurance Ltd., a wholly-owned subsidiary of Sompo International Holdings Ltd. Each restricted share unit represents a contingent right to receive one Issuer common share. Mandatory conversion of previously granted restricted share units. In accordance with agreements between Sompo International Holdings Ltd. ("SIH"), as successor in interest to Endurance Specialty Holdings Ltd., and Mr. Del Col and Mr. McGuire, respectively, all remuneration, including cash fees, restricted share units, any other equity-based awards and other compensation, to which they are or will become entitled for their service as Directors of the Issuer will be assigned or paid directly to SIH. Mr. Del Col and Mr. McGuire disclaim beneficial ownership of all such restricted share units. SIH is an indirect, wholly-owned subsidiary of Sompo Holdings, Inc. and a direct, wholly-owned subsidiary of Sompo Japan Nipponkoa Insurance, Inc. These awards will vest in three equal tranches on June 15, 2019, 2020 and 2021, subject to Messrs. Del Col and McGuire remaining actively engaged as directors of the Issuer in good standing on such dates. SOMPO INTERNATIONAL HOLDINGS LTD., By /s/ John V. Del Col 2018-06-15 Sompo Holdings, Inc., By /s/ Junichi Tanaka, Managing Executive Officer 2018-06-15 Sompo Japan Nipponkoa Insurance Inc., By /s/ Junichi Tanaka, Managing Executive Officer 2018-06-15