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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option to Purchase (2) | $ 23.83 | (3) | 12/30/2010 | Common Stock | 112,500 | 75,000 | D | ||||||||
Option to Purchase (2) | $ 28.53 | (4) | 09/28/2011 | Common Stock | 100,000 | 100,000 | D | ||||||||
Option to Purchase (2) | $ 31.92 | (5) | 05/09/2012 | Common Stock | 100,000 | 100,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KELBEL CRAIG J 13403 NORTHWEST FREEWAY C/O HCC INSURANCE HOLDINGS HOUSTON, TX 77040 |
Executive Vice President |
Randy D. Rinicella as Attorney in Fact for Craig J. Kelbel | 02/26/2008 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | On February 26, 2008, the reporting person filed a Form 4 but inadvertently did not attach a Power of Attorney. The Power of Attorney is attached to this Form 4. |
(2) | Option to purchase granted pursuant to the 2004 Flexible Incentive Plan. |
(3) | The options vest equally annually over a 3 year period beginning 12/31/06 @ 37,500 shares per year. |
(4) | The options vest equally annually over a 5 year period beginning 09/28/06 @ 20,000 shares per year. |
(5) | The options vest equally annually over a 4 year period beginning 02/28/08 @ 25,000 shares per year. |