0001209191-22-003748.txt : 20220119 0001209191-22-003748.hdr.sgml : 20220119 20220119164527 ACCESSION NUMBER: 0001209191-22-003748 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220114 FILED AS OF DATE: 20220119 DATE AS OF CHANGE: 20220119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOX SAUL A CENTRAL INDEX KEY: 0001099187 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34809 FILM NUMBER: 22539364 MAIL ADDRESS: STREET 1: 950 TOWER LANE STREET 2: SUITE 1150 CITY: FOSTER CITY STATE: CA ZIP: 94404 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Global Indemnity Group, LLC CENTRAL INDEX KEY: 0001494904 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981304287 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3 BALA PLAZA EAST STREET 2: SUITE 300 CITY: BALA CYNWYD STATE: PA ZIP: 19004 BUSINESS PHONE: 610-664-1500 MAIL ADDRESS: STREET 1: 3 BALA PLAZA EAST STREET 2: SUITE 300 CITY: BALA CYNWYD STATE: PA ZIP: 19004 FORMER COMPANY: FORMER CONFORMED NAME: Global Indemnity Ltd DATE OF NAME CHANGE: 20161107 FORMER COMPANY: FORMER CONFORMED NAME: Global Indemnity plc DATE OF NAME CHANGE: 20100622 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-01-14 0 0001494904 Global Indemnity Group, LLC GBLI 0001099187 FOX SAUL A 3 BALA PLAZA EAST, SUITE 300 BALA CYNWYD PA 19004 1 0 1 0 Class B Common Shares 2022-01-14 4 P 0 763777 A Class A Common Shares 3707785 3707785 I See Footnote Class B Common Shares Class A Common Shares 66482 66482 I See Footnote Class B Common Shares Class A Common Shares 121057 121057 I See Footnote Class B Common Shares Class A Common Shares 51882 51882 I See Footnote Each Class B Common Share ("B Common Share") of Global Indemnity Group, LLC ("Issuer") is convertible into one Issuer Class A Common Share ("A Common Share" and, together with B Common Shares, "Common Shares"). The reported securities are held by Fox Paine Capital Fund II International, L.P. ("Fund II"), a limited partnership in which Mr. Fox has an indirect pecuniary interest. On January 14, 2022, Mercury Assets Delaware, LLC, a limited liability company, was assigned by a limited partner of Fund II ("Assignor") Assignor's partnership interest representing a 20.6% interest in Fund II for an aggregate purchase price of $23,163,474.00 (the "Assignment"), which aggregate purchase price was allocable among Assignor's beneficial interest in cash and Common Shares held by Fund II and liabilities acquired as a result of the Assignment. The sole member of Mercury Assets Delaware, LLC is the Benjerome Trust. Mr. Fox is the sole trustee of the Benjerome Trust. Common Shares owned by Fund II. The sole general partner of Fund II is FP International LPH, L.P. ("FPI LPH"). The sole general partner of FPI LPH is Fox Paine International GP, Ltd. ("GPLTD"). As a result, GPLTD may be deemed to control the Common Shares owned by Fund II. Fox Mercury Investments, L.P. is a minority shareholder of GPLTD. Mr. Fox disclaims beneficial ownership of these securities except to the extent of his indirect pecuniary interest therein. Common Shares owned by FPI LPH. The sole general partner of FPI LPH is GPLTD. As a result, GPLTD may be deemed to control the Common Shares owned by FPI LPH. Mr. Fox disclaims beneficial ownership of these securities except to the extent of his indirect pecuniary interest therein. Common Shares owned indirectly by Mercury Assets Delaware LLC through its limited partnership interest in Fox Mercury Investments, L.P., which holds 979,050 A Common Shares and 172,939 B Common Shares. The sole member of Mercury Assets Delaware LLC is Benjerome Trust. Mr. Fox is the sole trustee of the Benjerome Trust. Mr. Fox disclaims beneficial ownership of these securities except to the extent of his indirect pecuniary interest therein. Common Shares owned indirectly by Fox Paine Global, Inc. through its indirect limited partnership interest in Fox Mercury Investments, L.P., which holds 979,050 A Common Shares and 172,939 B Common Shares. Mr. Fox is a director of Fox Paine Global, Inc. Mr. Fox disclaims beneficial ownership of these securities except to the extent of his indirect pecuniary interest therein. /s/Stephen W. Ries, Attorney-in-Fact 2022-01-19