3 1 d3.txt FORM 3 FILED BY KHANH T. TRAN
---------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL FORM 3 Washington, D.C. 20549 ---------------------------- ---------- OMB Number 3235-0104 Expires: December 31, 2001 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Estimated average burden hours per response. . . 0.5 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 (Print or Type Responses) ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Date of Event Re- 4. Issuer Name and Ticker or Trading Symbol quiring Statement Khanh T. Tran (Month/Day/Year) SCOTTISH ANNUITY & LIFE HOLDINGS, LTD. (SCOT) ------------------------------------------- ---------------------------------------------------------------- (Last) (First) 12/31/01 5. Relationship of Reporting Person(s) 6. If Amendment, Date to Issuer (Check all applicable) of Original(Month/ Day/Year) ---------------------- --------------------- 3. IRS or Social Se- x Director 10% Owner 7. Individual or c/o Pacific Life, 700 Newport Center Drive curity Number of ----- ----- Joint/Group Filing ------------------------------------------- (Check Applicable (Street) Reporting Person Officer (give Other(specify Line) (Voluntary) ----- title below) ----- below) x Form filed by One --- Reporting Person --- Form filed by Newport Beach California 92660 More than One ------------------------------------------- Reporting Person (City) (State) (Zip) ------------------------------------------------------------------------------------------------------------------------------------ Table I -- Non-Derivative Securities Beneficially Owned ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial (Instr. 4) Beneficially Owned Form: Direct Ownership (Instr. 5) (Instr. 4) (D) or Indirect (I) (Instr. 5) ------------------------------------------------------------------------------------------------------------------------------------ No securities are beneficially owned. ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative Security 2. Date Exercisable 3. Title and Amount 4. Conversion 5. Ownership 6. Nature of (Instr. 4) and Expiration of Securities or Exercise Form of Indirect Date Underlying Derivative Price of Derivative Beneficial (Month/Day/Year) Security Derivative Security: Ownership (Instr. 4) Security (Instr. 5) ----------------------------------------------- Amount Direct (D) Date Exer- Expiration or or cisable Date Title Number Indirect (I) of (Instr. 5) Shares ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: /s/ KHANH T. TRAN ---------------------- Khanh T. Tran ** 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.
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