0001209191-17-044620.txt : 20170710 0001209191-17-044620.hdr.sgml : 20170710 20170710165339 ACCESSION NUMBER: 0001209191-17-044620 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170706 FILED AS OF DATE: 20170710 DATE AS OF CHANGE: 20170710 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Allied World Assurance Co Holdings, AG CENTRAL INDEX KEY: 0001163348 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PARK TOWER, 15TH FLOOR STREET 2: GUBELSTRASSE 24 CITY: ZUG STATE: V8 ZIP: 6300 BUSINESS PHONE: 441-278-5400 MAIL ADDRESS: STREET 1: PARK TOWER, 15TH FLOOR STREET 2: GUBELSTRASSE 24 CITY: ZUG STATE: V8 ZIP: 6300 FORMER COMPANY: FORMER CONFORMED NAME: ALLIED WORLD ASSURANCE CO HOLDINGS LTD DATE OF NAME CHANGE: 20060615 FORMER COMPANY: FORMER CONFORMED NAME: ALLIED WORLD ASSURANCE HOLDINGS LTD DATE OF NAME CHANGE: 20011207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schwartz Eric S CENTRAL INDEX KEY: 0001589592 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32938 FILM NUMBER: 17958293 MAIL ADDRESS: STREET 1: LINDENSTRASSE 8 CITY: BAAR/ZUG STATE: V8 ZIP: CH6340 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-07-06 0 0001163348 Allied World Assurance Co Holdings, AG AWH 0001589592 Schwartz Eric S ALLIED WORLD ASSURANCE CO. HOLDINGS, AG GUBELSTRASSE 24, PARK TOWER, 15TH FLOOR ZUG V8 6300 SWITZERLAND 1 0 0 0 Common Shares 2017-07-06 4 U 0 6192 D 0 D Common Shares 2017-07-06 4 U 0 105000 D 0 I By trust Disposed of in an exchange offer by a wholly-owned subsidiary of Fairfax Financial Holdings Limited, a Canadian corporation ("Fairfax"), to acquire all of the outstanding common shares, par value CHF 4.10 per share, of the Issuer, pursuant to the terms, and subject to the conditions, of that certain Agreement and Plan of Merger, dated as of December 18, 2016, between Fairfax and the Issuer. Each share of the Issuer was exchanged for (i) cash consideration of $23.00, (ii) a special cash dividend of $5.00 and (iii) 0.057937 of a share of subordinate voting stock of Fairfax. Represents 105,000 shares that were held by Eric & Erica Schwartz Family LLC, in which the reporting person has 100% ownership. /s/ Theodore Neos, by Power of Attorney 2017-07-10