3 1 t27519e3.txt FAIRFAX FINANCIAL HOLDING LIMITED 1 FORM 3 OMB APPROVAL OMB NUMBER 3235-0104 EXPIRES: DECEMBER 31, 2001 ESTIMATED AVERAGE BURDEN HOURS PER RESPONSE...............0.5 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 FAIRFAX FINANCIAL HOLDINGS LIMITED -------------------------------------------------------------------------------- (Last) (First) (Middle) 95 WELLINGTON STREET WEST, SUITE 800 -------------------------------------------------------------------------------- (Street) TORONTO ONTARIO, CANADA M5J 2N7 -------------------------------------------------------------------------------- (City) (State) (Zip) -------------------------------------------------------------------------------- 2. Date of Event Requiring Statement (Month/Day/Year) 06/19/01 -------------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) -------------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol ODYSSEY RE HOLDINGS CORP.; ORH -------------------------------------------------------------------------------- 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [X] 10% Owner [X] Officer (give title below) [_] Other (specify below) Chairman of the Board of Directors ---------------------------------- -------------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) -------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (Check Applicable Line) [ ] Form filed by One Reporting Person [X] Form filed by More than one Reporting Person ================================================================================ TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED ================================================================================
2. Amount of Securities 3. Ownership Form: 1. Title of Security Beneficially Owned Direct (D) or 4. Nature of Indirect Beneficial Ownership (Instr. 4) (Instr. 4) Indirect (Instr. 5) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ COMMON STOCK, $.01 PAR VALUE 48,000,000 I 41,833,333 SHARES BY TIG INSURANCE COMPANY AND 6,166,667 SHARES BY ORH HOLDINGS INC. ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
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). Page 1 of 4 2 FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ================================================================================
5. Owner- 3. Title and Amount of Securities ship Underlying Derivative Security Form of 2. Date Exercisable (Instr. 4) Derivative and Expiration Date --------------------------------- 4. Conver- Security: (Month/Day/Year) Amount sion or Direct 6. Nature of ---------------------- or Exercise (D) or Indirect Date Expira- Number Price of Indirect Beneficial 1. Title of Derivative Exer- tion of Derivative (I) Ownership Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: ------------------------- FAIRFAX FINANCIAL HOLDINGS LIMITED /s/ Eric P. Salsberg June 27, 2001 --------------------------------------------- ----------------------- BY: ERIC P. SALSBERG Date VICE PRESIDENT, CORPORATE AFFAIRS ** 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 provided is insufficient, see Instruction 6 for procedure. Page 2 Page 2 of 4 3 FORM 3 (CONTINUED) SIGNATURE PAGE AND JOINT FILER INFORMATION FOR ADDITIONAL REPORTING PERSONS DESIGNATED FILER: FAIRFAX FINANCIAL HOLDINGS LIMITED RELATIONSHIP TO ISSUER OF EACH REPORTING PERSON: 10% HOLDER (IN ADDITION, V. PREM WATSA IS A DIRECTOR AND CHAIRMAN OF THE BOARD OF DIRECTORS OF THE ISSUER)
DATE OF EVENT REQUIRING SIGNATURE OF REPORTING PERSON ADDRESS ISSUER (SYMBOL) STATEMENT REPORTING PERSON ---------------- ------- --------------- --------- ---------------- V. PREM WATSA 21 Douglas Drive ODYSSEY RE HOLDINGS June 19, 2001 Toronto, Ontario, Canada CORP. ("ORH") M4W 2B2 /s/ V. Prem Watsa --------------------- V. PREM WATSA THE SIXTY TWO 1600 Cathedral Place ODYSSEY RE HOLDINGS June 19, 2001 INVESTMENT COMPANY 925 West Georgia St. CORP. ("ORH") LIMITED Vancouver, British Columbia, Canada V6C 3L3 BY: /s/ V. Prem Watsa --------------------- NAME: V. PREM WATSA TITLE: President ODYSSEY RE HOLDINGS 95 Wellington Street West ODYSSEY RE HOLDINGS June 19, 2001 LTD. Suite 800, Toronto CORP. ("ORH") Ontario, Canada M5J 2N7 BY: /s/ Eric P. Salsberg --------------------- NAME: Eric P. Salsberg TITLE: Vice President ODYSSEY RE GROUP LTD. 95 Wellington Street West ODYSSEY RE HOLDINGS June 19, 2001 Suite 800, Toronto CORP. ("ORH") Ontario, Canada M5J 2N7 BY: /s/ Eric P. Salsberg --------------------- NAME: Eric P. Salsberg TITLE: Vice President
Page 3 of 4 4 FORM 3 (CONTINUED) SIGNATURE PAGE AND JOINT FILER INFORMATION FOR ADDITIONAL REPORTING PERSONS DESIGNATED FILER: FAIRFAX FINANCIAL HOLDINGS LIMITED RELATIONSHIP TO ISSUER OF EACH REPORTING PERSON: 10% HOLDER
DATE OF EVENT REQUIRING SIGNATURE OF REPORTING PERSON ADDRESS ISSUER (SYMBOL) STATEMENT REPORTING PERSON ---------------- ------- --------------- --------- ---------------- FAIRFAX INC. 5205 North O'Connor Blvd. ODYSSEY RE HOLDINGS June 19, 2001 Irving, Texas 75039 CORP. ("ORH") BY: /s/ Donald L. Smith --------------------- NAME: Donald L. Smith TITLE: Vice President TIG HOLDINGS, INC. 5205 North O'Connor Blvd. ODYSSEY RE HOLDINGS June 19, 2001 Irving, Texas 75039 CORP. ("ORH") BY: /s/ William H. Huff --------------------- NAME: William H. Huff TITLE: Senior Vice President TIG INSURANCE GROUP 5205 North O'Connor Blvd. ODYSSEY RE HOLDINGS June 19, 2001 Irving, Texas 75039 CORP. ("ORH") BY: /s/ William H. Huff --------------------- NAME: William H. Huff TITLE: Vice President TIG INSURANCE 5205 North O'Connor Blvd. ODYSSEY RE HOLDINGS June 19, 2001 COMPANY Irving, Texas 75039 CORP. ("ORH") BY: /s/ William H. Huff --------------------- NAME: William H. Huff TITLE: Vice President ORH HOLDINGS INC. 300 First Stamford Place ODYSSEY RE HOLDINGS June 19, 2001 Stamford, Connecticut 06902 CORP. ("ORH") BY: /s/ Donald L. Smith --------------------- NAME: Donald L. Smith TITLE: Senior Vice President
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