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