0001209191-21-044822.txt : 20210702
0001209191-21-044822.hdr.sgml : 20210702
20210702143905
ACCESSION NUMBER: 0001209191-21-044822
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210630
FILED AS OF DATE: 20210702
DATE AS OF CHANGE: 20210702
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HURWITZ JASON B
CENTRAL INDEX KEY: 0001099190
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34809
FILM NUMBER: 211069358
MAIL ADDRESS:
STREET 1: 3 BALA PLAZA EAST, SUITE 300
CITY: BALA CYNWYD
STATE: PA
ZIP: 19004
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
2021-06-30
0
0001494904
Global Indemnity Group, LLC
GBLI
0001099190
HURWITZ JASON B
3 BALA PLAZA EAST, SUITE 300
BALA CYNWYD
PA
19004
1
0
0
0
Class A Common Shares
2021-06-30
4
A
0
2177
28.71
A
104007
D
Class A Common Shares
4080
I
See Footnote
Represents a grant of vested Class A Common Shares ("A Common Shares") in recognition of services rendered as a board member of the Issuer and GBLI Holdings, LLC, an indirect, wholly owned subsidiary of the Issuer.
Includes restricted share units covering 41,667 A Common Shares of the issuer that vest ratably over three years on January 1, 2022, January 1, 2023, and January 1, 2024, subject to Mr. Hurwitz remaining a director or employee of the issuer through the applicable vesting date. Upon vesting, the reporting person will receive A Common Shares of the issuer.
Shares held by Hurwitz Capital LLC. The sole member of Hurwitz Capital LLC is Jason B. Hurwitz.
/s/Stephen W. Ries, Attorney-in-fact
2021-07-02