-----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, Ipr5usWqX0F3pq2yl6/KWK6O0ta2iYliyt0DFG7e3xNTmQKEYVbFB+7UjlIqofSg enjg1djGDSjYtVCZTRH1qA== 0001104659-04-004257.txt : 20040213 0001104659-04-004257.hdr.sgml : 20040213 20040213144426 ACCESSION NUMBER: 0001104659-04-004257 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040213 GROUP MEMBERS: FUND AMERICAN REINSURANCE CO. GROUP MEMBERS: ONEBEACON INSURANCE COMPANY GROUP MEMBERS: PENNSYLVANIA GENERAL INSURANCE CO. GROUP MEMBERS: THE CAMDEN FIRE INSURANCE ASSN. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MONTPELIER RE HOLDINGS LTD CENTRAL INDEX KEY: 0001165880 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-78523 FILM NUMBER: 04597848 BUSINESS ADDRESS: STREET 1: MINTFLOWER PLACE STREET 2: 8 PAR-LA-VILLE ROAD CITY: HAMILTON HM 08 STATE: D0 ZIP: 00000 BUSINESS PHONE: 441 296 5550 MAIL ADDRESS: STREET 1: MINTFLOWER PLACE STREET 2: 8 PAR-LA-VILLE ROAD CITY: HAMILTON HM 08 STATE: D0 ZIP: 00000 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: WHITE MOUNTAINS INSURANCE GROUP LTD CENTRAL INDEX KEY: 0000776867 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 942708455 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 80 SOUTH MAIN ST CITY: HANOVER STATE: NH ZIP: 03755 BUSINESS PHONE: 603 640 2200 MAIL ADDRESS: STREET 1: 80 SOUTH MAIN STREET CITY: HANOVER STATE: NH ZIP: 03755 FORMER COMPANY: FORMER CONFORMED NAME: WHITE MOUNTAINS INSURANCE GROUP INC DATE OF NAME CHANGE: 19990603 FORMER COMPANY: FORMER CONFORMED NAME: FUND AMERICAN ENTERPRISES HOLDINGS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: FUND AMERICAN COMPANIES INC DATE OF NAME CHANGE: 19920701 SC 13G/A 1 a04-2299_1sc13ga.htm SC 13G/A

SECURITIES AND EXCHANGE COMMISSION

 

Washington, D.C. 20549

 

 

 

 

 

 

 

 

SCHEDULE 13G

 

 

Under the Securities Exchange Act of 1934
(Amendment No.  1)

 

MONTPELIER RE HOLDINGS LTD.

(Name of Issuer)

 

Common Shares, 1/6 of a cent par value per share

(Title of Class of Securities)

 

G62185 10 6

(CUSIP Number)

 

 

Check the following box if a fee is being paid with this statement o.  (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of less than five percent of such class.)  (See Rule 13d-7.)

 

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.     

 

The information required in the remainder of this cover page shall not be deemed to the “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

1



 

CUSIP No.  G62185 10 6

 

 

1.

Names of Reporting Persons
I.R.S. Identification Nos. of Above Persons (entities only)

White Mountains Insurance Group, Ltd. (“WTM”) (No. 94-2708455)

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)  o

(b)  o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Bermuda

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person with

5.

Sole Voting Power
0

 

6.

Shared Voting Power
15,581,572*

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
15,581,572*

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
15,581,572*

 

 

10.

Check Box if the Aggregate Amount in Row (9) Excludes
Certain Shares (See Instructions) 
o

 

 

11.

Percent of Class Represented
by Amount in Row (9)

22.9%*

 

 

12.

Type of Reporting Person (See Instructions)
HC, CO

 


*  The reporting person currently owns no common shares of record and beneficially owns (through wholly-owned affiliates) 10,800,000 common shares (“Shares”) of Montpelier Re Holdings Ltd. (“Montpelier”) and non-voting warrants (“Warrants”) to acquire 4,781,572 Shares of Montpelier at a

 

2



 

price of $16.67 per Share through January 3, 2012 which are currently exercisable. Montpelier’s Bye-laws reduce the total voting power of any shareholder owning more than 9.5% of its Shares to 9.5% of the total voting power of all Shares as further described in Item 4 to this Schedule 13G.

 

3



 

CUSIP No.  G62185 10 6

 

 

1.

Names of Reporting Persons
I.R.S. Identification Nos. of Above Persons (entities only)

Fund American Reinsurance Co. (“FA Re”)

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)  o

(b)  o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Bermuda

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person with

5.

Sole Voting Power
0

 

6.

Shared Voting Power
4,781,572*

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
4,781,572*

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
4,781,572*

 

 

10.

Check Box if the Aggregate Amount in Row (9) Excludes
Certain Shares (See Instructions) 
o

 

 

11.

Percent of Class Represented
by Amount in Row (9)

5.9%*

 

 

12.

Type of Reporting Person (See Instructions)
IC, CO

 

4



 


*  The amounts shown in rows (6), (8) and (9) consist of non-voting warrants (“Warrants”) to acquire 4,781,572 Shares of Montpelier at a price of $16.67 per Share through January 3, 2012 which are currently exercisable.

 

5



 

CUSIP No.  G62185 10 6

 

 

1.

Names of Reporting Persons
I.R.S. Identification Nos. of Above Persons (entities only)

OneBeacon Insurance Company (“OBIC”) (No. 23-1502700)

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)  o

(b)  o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Pennsylvania

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person with

5.

Sole Voting Power
0

 

6.

Shared Voting Power
8,100,000*

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
8,100,000

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
8,100,000

 

 

10.

Check Box if the Aggregate Amount in Row (9) Excludes
Certain Shares (See Instructions) 
o

 

 

11.

Percent of Class Represented
by Amount in Row (9)

12.8%

 

 

12.

Type of Reporting Person (See Instructions)
IC, CO

 

6



 


* Montpelier’s Bye-laws reduce the total voting power of any shareholder owning more than 9.5% of its Shares to 9.5% of the total voting power of all Shares as further described in Item 4 to this Schedule 13G.

 

7



 

CUSIP No.  G62185 10 6

 

 

1.

Names of Reporting Persons
I.R.S. Identification Nos. of Above Persons (entities only)

Pennsylvania General Insurance Company (“PGIC”) (No. 23-1471444)

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)  o

(b)  o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
Pennsylvania

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person with

5.

Sole Voting Power
0

 

6.

Shared Voting Power
1,800,000*

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
1,800,000

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
1,800,000

 

 

10.

Check Box if the Aggregate Amount in Row (9) Excludes
Certain Shares (See Instructions) 
o

 

 

11.

Percent of Class Represented
by Amount in Row (9)

2.8%

 

 

12.

Type of Reporting Person (See Instructions)
IC, CO

 

8



 


* Montpelier’s Bye-laws reduce the total voting power of any shareholder owning more than 9.5% of its Shares to 9.5% of the total voting power of all Shares as further described in Item 4 to this Schedule 13G.

 

9



 

CUSIP No.  G62185 10 6

 

 

1.

Names of Reporting Persons
I.R.S. Identification Nos. of Above Persons (entities only)

The Camden Fire Insurance Association (“CFIA”) (No. 21-0418860)

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)  o

(b)  o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
New Jersey

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person with

5.

Sole Voting Power
0

 

6.

Shared Voting Power
900,000*

 

7.

Sole Dispositive Power
0

 

8.

Shared Dispositive Power
900,000

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
900,000

 

 

10.

Check Box if the Aggregate Amount in Row (9) Excludes
Certain Shares (See Instructions) 
o

 

 

11.

Percent of Class Represented
by Amount in Row (9)

1.4%

 

 

12.

Type of Reporting Person (See Instructions)
IC, CO

 

10



 


* Montpelier’s Bye-laws reduce the total voting power of any shareholder owning more than 9.5% of its Shares to 9.5% of the total voting power of all Shares as further described in Item 4 to this Schedule 13G.

 

11



 

Item 1.

 

(a)

Name of Issuer

 


Montpelier Re Holdings Ltd. (“Montpelier”)

 

 

 

(b)

Address of Issuer’s Principal Executive Offices

 


Mintflower Place, 8 Par-la-ville Road, Hamilton, HM 08, Bermuda

 

Item 2.

 

(a), (b), (c)    Name of Person Filing, Address of Principal Business Office or, if none, Residence and Citizenship

 

 

 

The persons filing this Statement are WTM (a Bermuda company), FA Re (a Bermuda company), OBIC (a Pennsylvania company), PGIC (a Pennsylvania company) and CFIA (a New Jersey company) collectively referred to herein as the “Reporting Persons”.  FA Re, OBIC, PGIC and CFIA are indirect wholly-owned subsidiaries of WTM.

The principal business and office address of WTM is 80 South Main Street, Hanover, NH 03755, the principle business and office address of FA Re is Victoria Hall, 11 Victoria Street, Hamilton, Bermuda and the principal business and office address of OBIC, PGIC and CFIA is One Beacon Street, Boston, MA 02108.

 

 

 

 

(d)

Title of Class of Securities

 

Common shares, par value 1/6th of a cent per share

 

 

 

(e)

CUSIP Number

 

G62185 10 6

 

12



 

Item 3.

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

 

(a)

o

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

 

(b)

o

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

 

(c)

o

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

 

(d)

o

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

 

(e)

o

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

 

(f)

o

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

 

(g)

o

A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G);

 

(h)

o

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

 

(i)

o

A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);

 

(j)

o

Group, in accordance with §240.13d-1(b)(1)(ii)(J).

 

Item 4.

Ownership

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

 

(a)

Amount beneficially owned:    15,581,572* Shares.

 

 

 

 

(b)

Percent of class:    22.9%*.

 

13



 

 

(c)

Number of shares as to which the person has:

 

 

 

(i)

Sole power to vote or to direct the vote    0 Shares.

 

 

(ii)

Shared power to vote or to direct the vote     15,581,572* Shares.

 

 

(iii)

Sole power to dispose or to direct the disposition of    0 Shares.

 

 

(iv)

Shared power to dispose or to direct the disposition of    15,581,572* Shares.

 


*  The amounts shown in rows (a), (b), (c)(ii), and (c)(iv) include warrants, which are currently exercisable, to acquire 4,781,572 Shares of Montpelier at a price of $16.67 per Share through January 3, 2012. Montpelier’s Bye-laws reduce the total voting power of any shareholder owning more than 9.5% of its Shares to 9.5% of the total voting power of all Shares as further described below.

 

14



 

In general, except as provided in Montpelier’s Bye-laws, shareholders have one vote for each Share held by them and are entitled to vote on a non-cumulative basis at all meetings of shareholders. Montpelier’s Bye-laws, provide, among other things, that if, and so long as, the “controlled Shares” (as defined below) of any person would otherwise represent more than 9.5% of the voting power of all of the Shares entitled to vote generally at an election of directors, then the votes conferred by the controlled Shares owned by such person shall be automatically reduced by whatever amount is necessary so that after any such reduction the votes conferred by the controlled Shares of such person shall constitute 9.5% of the total voting power of all the Shares entitled to vote generally at any election of directors. “Controlled Shares” means, among other things, all Shares that a person is deemed to beneficially own, directly, indirectly or constructively (within the meaning of Section 958 of the United States Internal Revenue Code of 1986, as amended). Therefore, as of the date hereof, the Reporting Person presently believes that it would not be entitled to more than 9.5% of the voting power of all the Shares entitled to vote generally at any election of directors.

 

In addition, certain affiliates of the Reporting Person are parties to a shareholders agreement which grants such affiliates certain registrations rights, tag-along rights with respect to proposed sales of 20% or more of the outstanding Shares by a shareholder (or group of shareholders) and certain information rights with respect to Montpelier. The shareholders agreement is filed as Exhibit 10.1 to Montpelier’s S-1 registration statement (Registration No. 333-89408).

 

Item 5.

Ownership of Five Percent or Less of a Class

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following   o.

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person

Not applicable.

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person

FA Re, OBIC, PGIC and CFIA are insurance companies as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c).

 

Item 8.

Identification and Classification of Members of the Group

Not applicable.

 

Item 9.

Notice of Dissolution of Group

Not applicable.

 

15



 

Item 10.

Certification

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

 

16



 

SIGNATURES

 

 

After reasonable inquiry and to the best of the knowledge and belief of the undersigned, the undersigned certifies that the information set forth in this statement is true, complete and correct.

 

 

Dated: February 13, 2004

 

 

 

 

 

 

WHITE MOUNTAINS INSURANCE GROUP, LTD.

 

 

 

 

 

BY:

 

 

 

 

Name:

J. Brian Palmer

 

 

Title:

Chief Accounting Officer

 

 

 

 

 

 

 

 

 

 

ONEBEACON INSURANCE COMPANY

 

 

 

 

 

 

 

 

 

BY:

 

 

 

 

Name:

Roger M. Singer

 

Title:

General Counsel and Senior Vice President

 

 

 

 

 

 

 

 

 

PENNSYLVANIA GENERAL INSURANCE COMPANY

 

 

 

 

 

 

 

 

 

BY:

 

 

 

 

Name:

Roger M. Singer

 

Title:

General Counsel and Senior Vice President

 

 

 

 

 

 

 

 

 

THE CAMDEN FIRE INSURANCE ASSOCIATION

 

 

 

 

 

 

 

 

 

BY:

 

 

 

 

Name:

Roger M. Singer

 

Title:

General Counsel and Senior Vice President

 

17


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