-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, I4O/LtQbyFnk15VMk68RRl6ZG5cHqT1z1RZfrA4QECTA4MgXP9NrTHGF0OjAu+LB HbFXOVXvFmmpwobbtSljxQ== 0000950135-99-003423.txt : 19990707 0000950135-99-003423.hdr.sgml : 19990707 ACCESSION NUMBER: 0000950135-99-003423 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990625 FILED AS OF DATE: 19990706 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ZENITH NATIONAL INSURANCE CORP CENTRAL INDEX KEY: 0000109261 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 952702776 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-09627 FILM NUMBER: 99659544 BUSINESS ADDRESS: STREET 1: 21255 CALIFA ST CITY: WOODLAND HILLS STATE: CA ZIP: 91367 BUSINESS PHONE: 8187131000 COMPANY DATA: COMPANY CONFORMED NAME: FAIRFAX FINANCIAL HOLDINGS LTD/ CAN CENTRAL INDEX KEY: 0000915191 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] OWNER STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 95 WELLINGTON ST WEST STREET 2: STE 800 CITY: TORONTO ONTARIO CANA STATE: A6 BUSINESS PHONE: 4163674941 MAIL ADDRESS: STREET 1: FAIRFAX FINANCIAL HOLDINGS LTD STREET 2: 95 WELLINGTON ST WEST STE 800 CITY: TORONTO ONTARIO CANA STATE: A6 FORMER COMPANY: FORMER CONFORMED NAME: FAIRFAX FINANCIAL HOLDINGS LTD DATE OF NAME CHANGE: 19931122 3 1 ZENITH NATIONAL INSURANCE CORP. 1 FORM 3 U.S. 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
- ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person 2. Date of Event Re- 4. Issuer Name and Ticker or Trading Symbol FAIRFAX FINANCIAL HOLDINGS LIMITED quiring Statement ZENITH NATIONAL INSURANCE CORP. ("ZNT") - --------------------------------------- (Month/Day/Year) --------------------------------------------------------------- (Last) (First) (Middle) 6/25/1999 5. Relationship of Reporting 6. If Amendment, Date of -------------------- Person to Issuer Original 95 Wellington Street West, Suite 800 3. IRS or Social Se- (Check all applicable) (Month/Day/Year) - --------------------------------------- curity Number of [ ] Director [X] 10% Owner ---------------------------- Reporting Person [ ] Officer [ ] Other 7. Individual or Joint/Group (Street) (Voluntary) (give (specify Filing (Check Applicable Toronto, Ontario, Canada M5J 2N7 N/A title below) Line) below) [ ] Form filed by One Reporting Person [X} Form filed by More than one Reporting Person ---------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) TABLE I C NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect (Instr.4) Beneficially Owned Form: Direct Beneficial Ownership (Instr. 4) (D) or Indirect (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 6,660,599 6,574,445 Direct Held through Hamblin Watsa 86,154 Indirect Investment Counsel Ltd., an investment management company and a wholly owned subsidiary of the Designated Filer - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses) SEC 1473 (7/96) * If the form is filed by more than one reporting person, see Instruction 5(b)(v). Page 1 of 3 2 FORM 3 (CONTINUED)
TABLE II--DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of (Instr. 4) Exercisable Securities Underlying sion or ship Indirect and Expira- Derivative Security Exercise Form of Beneficial tion Date(Month/ (Instr. 4) Price of Deriva- Ownership Day/Year) Deri- tive (Instr. 5) -------------------------------------------- vative Security: Date Expira- Title Amount or Security Direct (D) Exer- tion Number or Indirect cisable Date of Shares (I) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). FAIRFAX FINANCIAL HOLDINGS LIMITED /s/ Eric P. Salsberg, Vice President, Corporate Affairs July 6, 1999 --------------------------------- ------------ **Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure. Page 2 of 3 3 REPORTING PERSONS WHO ARE BENEFICIAL OWNERS IN THE GROUP (IN ADDITION TO THE DESIGNATED FILER, FAIRFAX FINANCIAL HOLDINGS LIMITED)
DATE OF EVENT REQUIRING REPORTING PERSON ADDRESS ISSUER (SYMBOL) STATEMENT SIGNATURE OF REPORTING PERSON ---------------- ------- --------------- --------- ----------------------------- V. PREM WATSA 95 Wellington Street West, ZENITH NATIONAL 6/25/1999 Suite 800 INSURANCE CORP. ("ZNT") /s/ V. Prem Watsa Toronto, Ontario, Canada ---------------------------- M5J 2N7 NAME: V. Prem Watsa THE SIXTY TWO 1600 Cathedral Place ZENITH NATIONAL 6/25/1999 INVESTMENT COMPANY 925 West Georgia Street INSURANCE CORP. ("ZNT") BY: /s/ V. Prem Watsa LIMITED Vancouver, British Columbia, ---------------------------- Canada NAME: V. Prem Watsa V6C 3L3 TITLE: President 810679 ONTARIO LIMITED 95 Wellington Street West, ZENITH NATIONAL 6/25/1999 Suite 800 INSURANCE CORP. ("ZNT") BY: /s/ V. Prem Watsa Toronto, Ontario, Canada ---------------------------- M5J 2N7 NAME: V. Prem Watsa TITLE: President HAMBLIN WATSA 95 Wellington Street West, ZENITH NATIONAL 6/25/1999 INVESTMENT COUNSEL Suite 800 INSURANCE CORP. ("ZNT") BY: /s/ V. Prem Watsa LTD. Toronto, Ontario, Canada ---------------------------- M5J 2N7 NAME: V. Prem Watsa TITLE: Vice President
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