FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
MONTPELIER RE HOLDINGS LTD [ MRH ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 09/27/2006 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Shares | 9,189 | I | By Folksamerica Reinsurance Company(1) | |||||||
Common Shares | 09/27/2006 | S | 5,370,150 | D | $19.4 | 929,850 | I | By White Mountains Holdings Bermuda Ltd.(2) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrant Shares | $16.67(3) | (4) | 01/03/2012 | Common Shares | 3,580,466.2 | 3,580,466.2 | D | ||||||||
Warrant Shares | $16.67(3) | (4) | 01/03/2012 | Common Shares | 3,591,891.3 | 3,591,891.3 | I | By wholly-owned subsidiaries of White Mountains Insurance Group, Ltd. See Footnote 5.(5) |
Explanation of Responses: |
1. Folksamerica Reinsurance Company is an indirect wholly-owned subsidiary of White Mountains Insurance Group, Ltd. |
2. White Mountains Holdings Bermuda Ltd. is an indirect wholly-owned subsidiary of White Mountains Insurance Group, Ltd. Since March 8, 2005, the date of Reporting Person's last filing, 6,300,000 Common Shares of MRH previously held indirectly through OneBeacon Insurance Group LLC, OneBeacon Insurance Company, and Pennsylvania General Insurance Company, each an indirect wholly-owned subsidiary of White Mountains Insurance Group, Ltd., were transferred to, and held indirectly through, White Mountains Holdings Bermuda Ltd. |
3. Warrants Shares are exercisable for Common Shares on a 1 for 1 basis at an exercise price of $16.67 per Warrant Share. |
4. Currently exercisable. |
5. Warrant Shares are held by Folksamerica Reinsurance Company and Fund American Reinsurance Company, Ltd., each an indirect wholly-owned subsidiary of White Mountains Insurance Group, Ltd. |
Remarks: |
Dennis Beaulieu, Corporate Secretary, White Mountains Insurance Group, Ltd. | 09/27/2006 | |
Dennis Beaulieu, by Power of Attorney on behalf of Folksamerica Reinsurance Company | 09/27/2006 | |
Dennis Beaulieu, by Power of Attorney on behalf of White Mountains Holdings Bermuda Ltd. | 09/27/2006 | |
** 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 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |