SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Kuchma Anita Breslin

(Last) (First) (Middle)
1551 CANDACE LANE

(Street)
YARDLEY PA 19067

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/09/2023
3. Issuer Name and Ticker or Trading Symbol
Hamilton Insurance Group, Ltd. [ HG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CEO, Hamilton Select
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class B Common Shares 1,305 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
2022 LTIP - Restricted Stock Unit (1) (1) Class B Common Shares 3,374 (1) D
2023 LTIP - Restricted Stock Unit (2) (2) Class B Common Shares 10,204 (2) D
2023 LTIP - Performance Stock Unit (3) (3) Class B Common Shares 10,204 (3) D
Explanation of Responses:
1. On February 11, 2022, the reporting person was granted 5,061 restricted stock unites ("RSUs") that vest one-third per year on January 1 of 2023, 2024, and 2025, respectively. Each RSU represents the right to receive one Class B common share. The number reported here reflects the RSUs outstanding subject to future vesting.
2. On March 10, 2023, the reporting person was granted 10,204 RSUs that vest one-third per year on January 1 of 2024, 2025, and 2026, respectively. Each RSU represents the right to receive one Class B common share. The number reported here reflects the RSUs outstanding subject to future vesting.
3. On March 10, 2023, the reporting person was granted 10,204 performance stock units ("PSUs") that are earned based on our annualized underwriting return on capital for the 3-year performance period ending on December 31, 2025. Each PSU represents the right to receive one Class B common share. The number of units subject to vest under this award can range from 0% to 200% of the amount shown based on the satisfaction of the performance target during the performance period. This award fully vests on January 1, 2026.
/s/ Gemma Carreiro, Attorney-in-Fact 11/09/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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