0001193125-24-008756.txt : 20240117 0001193125-24-008756.hdr.sgml : 20240117 20240116203849 ACCESSION NUMBER: 0001193125-24-008756 CONFORMED SUBMISSION TYPE: F-N PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20240117 EFFECTIVENESS DATE: 20240117 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Brookfield Reinsurance Ltd. CENTRAL INDEX KEY: 0001837429 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE CARRIERS, NEC [6399] ORGANIZATION NAME: 02 Finance IRS NUMBER: 000000000 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-N SEC ACT: 1933 Act SEC FILE NUMBER: 333-276533 FILM NUMBER: 24536547 BUSINESS ADDRESS: STREET 1: IDEATION HOUSE, 1ST FLOOR STREET 2: 94 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM08 BUSINESS PHONE: 441-405-7811 MAIL ADDRESS: STREET 1: IDEATION HOUSE, 1ST FLOOR STREET 2: 94 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM08 FORMER COMPANY: FORMER CONFORMED NAME: Brookfield Asset Management Reinsurance Partners Ltd. DATE OF NAME CHANGE: 20201221 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Brookfield Reinsurance Ltd. CENTRAL INDEX KEY: 0001837429 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE CARRIERS, NEC [6399] ORGANIZATION NAME: 02 Finance IRS NUMBER: 000000000 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: F-N BUSINESS ADDRESS: STREET 1: IDEATION HOUSE, 1ST FLOOR STREET 2: 94 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM08 BUSINESS PHONE: 441-405-7811 MAIL ADDRESS: STREET 1: IDEATION HOUSE, 1ST FLOOR STREET 2: 94 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM08 FORMER COMPANY: FORMER CONFORMED NAME: Brookfield Asset Management Reinsurance Partners Ltd. DATE OF NAME CHANGE: 20201221 F-N 1 d112812dfn.htm F-N F-N

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM F-N

 

 

APPOINTMENT OF AGENT FOR SERVICE OF PROCESS

BY FOREIGN BANKS AND FOREIGN INSURANCE

COMPANIES AND CERTAIN OF THEIR HOLDING COMPANIES

AND FINANCE SUBSIDIARIES MAKING PUBLIC OFFERINGS

OF SECURITIES IN THE UNITED STATES

 

 

 

A.   Name of issuer or person filing (“Filer”):         Brookfield Reinsurance Ltd.
B.   This is (select one):   
  ☒   an original filing for the Filer   
  ☐   an amended filing for the Filer   
C.   Identify the filing in conjunction with which this Form is being filed:   
       Name of registrant   Brookfield Reinsurance Ltd.
  Form type   Form F-3
  File Number (if known)   333-276533
  Filed by   Brookfield Reinsurance Ltd.
  Date Filed (if filed concurrently, so indicate)   January 16, 2024 (concurrently with Form F-3 filing)
D.  

The Filer is incorporated or organized under the laws of (Name of the jurisdiction under whose laws the filer is organized or incorporated) Bermuda and has its principal place of business at (Address in full and telephone number)

 

Ideation House, First Floor

94 Pitts Bay Road

Pembroke, HM08

Bermuda

(441) 405-7811

E.  

The Filer designates and appoints (Name of United States person serving as agent) Brookfield Asset Management LLC (“Agent”) located at (Address in full in the United States and telephone number)

 

Brookfield Place

250 Vesey Street, 15th Floor

New York, New York 10281-1023

(212) 417-7000

  as the agent of the Filer upon whom may be served any process, pleadings, subpoenas, or other papers in:
  (a)   any investigation or administrative proceeding conducted by the Commission, and
  (b)   any civil suit or action brought against the Filer or to which the Filer has been joined as defendant or respondent, in any appropriate court in any place subject to the jurisdiction of any state or of the United States or any of its territories or possessions or of the District of Columbia, arising out of or based on any offering made or purported to be made in connection with the securities registered by the Filer on Form F-3 filed on January 16, 2024 or any purchases or sales of any security in connection therewith. The Filer stipulates and agrees that any such civil suit or action or administrative proceeding may be commenced by the service of process upon, and that service of an administrative subpoena shall be effected by service upon, such agent for service of process, and that the service as aforesaid shall be taken and held in all courts and administrative tribunals to be valid and binding as if personal service thereof had been made.
F.   Each person filing this Form stipulates and agrees to appoint a successor agent for service of process and file an amended Form F-N if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any time until six years have elapsed from the date of the Filer’s last registration statement or report, or amendment to any such registration statement or report, filed with the Commission under the Securities Act of 1933 or Securities Exchange Act of 1934. Filer further undertakes to advise the Commission promptly of any change to the Agent’s name or address during the applicable period by amendment of this Form referencing the file number of the relevant registration form in conjunction with which the amendment is being filed.
G.   Each person filing this form undertakes to make available, in person or by telephone, representatives to respond to inquiries made by the Commission staff, and to furnish promptly, when requested to do so by the Commission staff, information relating to the securities registered pursuant to the form referenced in paragraph E or transactions in said securities.

The Filer certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf by the undersigned, thereunto duly authorized, in Pembroke, Bermuda on this 16th day of January, 2024.

BROOKFIELD REINSURANCE LTD.

 

By:

  

/s/ Thomas Corbett

 

Thomas Corbett

Chief Financial Officer

This statement has been signed by the following persons in the capacities and on the dates indicated.

 

  BROOKFIELD ASSET MANAGEMENT LLC
Date: January 16, 2024    
  By:  

/s/ Kathy Sarpash

   

Kathy Sarpash

Secretary