0001209191-17-007107.txt : 20170202
0001209191-17-007107.hdr.sgml : 20170202
20170202162819
ACCESSION NUMBER: 0001209191-17-007107
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20170131
FILED AS OF DATE: 20170202
DATE AS OF CHANGE: 20170202
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AXIS CAPITAL HOLDINGS LTD
CENTRAL INDEX KEY: 0001214816
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 000000000
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 92 PITTS BAY ROAD
CITY: PEMBROKE
STATE: D0
ZIP: HM 08
BUSINESS PHONE: (441) 496-2600
MAIL ADDRESS:
STREET 1: 92 PITTS BAY ROAD
CITY: PEMBROKE
STATE: D0
ZIP: HM 08
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brooks Conrad D.
CENTRAL INDEX KEY: 0001694171
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31721
FILM NUMBER: 17568632
MAIL ADDRESS:
STREET 1: AXIS HOUSE
STREET 2: 92 PITTS BAY RD.
CITY: PEMBROKE
STATE: D0
ZIP: HM 08
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-01-31
0
0001214816
AXIS CAPITAL HOLDINGS LTD
AXS
0001694171
Brooks Conrad D.
92 PITTS BAY RD.
PEMBROKE
D0
HM 08
BERMUDA
0
1
0
0
EVP, General Counsel & Sec
Restricted Stock Units
2017-01-31
4
A
0
5467
0.00
A
Common Shares
5467
5467
D
Restricted Stock Units
2017-01-31
4
A
0
546
0.00
A
Common Shares
546
546
D
Upon vesting, each restricted stock unit will be equal in value to one common share (50% of the restricted stock units will be settled in common shares and 50% will be settled in cash).
The restricted stock units vest in four equal annual installments beginning March 1, 2018.
Represents a guaranteed minimum award of performance-based restricted stock units. The award may increase up to 10,934 restricted stock units provided that certain Company performance conditions are satisfied. The award will be eligible to vest in a single installment on March 1, 2020.
G. Christina Gray-Trefry, Attorney-in-Fact
2017-02-02
EX-24.4_698260
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby makes, constitutes and
appoints Joseph Henry, Conrad Brooks and G. Christina Gray-Trefry and each of
them, as the undersigned's true and lawful attorneys-in-fact, with full power
and authority as hereinafter described on behalf of and in the name, place and
stead of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file a Form ID Application, Forms
3, 4 and 5 (including any amendments thereto) and any other required
applications, forms or documents required with respect to the securities of AXIS
Capital Holdings Limited, a Bermuda company (the "Company"), with the United
States Securities and Exchange Commission (the "SEC"), any national securities
exchanges and the Company, as considered necessary or advisable under Section
16(a) of the Securities Exchange Act of 1934 and the rules and regulations
promulgated thereunder, as amended from time to time (the "Exchange Act");
(2) seek or obtain, as the undersigned's representative and on the undersigned's
behalf, information on transactions in the Company's securities from any third
party, including brokers, employee benefit plan administrators and trustees, and
the undersigned hereby authorizes any such person to release any such
information to the undersigned and approves and ratifies any such release of
information; and
(3) perform any and all other acts which in the discretion of such
attorneys-in-fact are necessary or desirable for and on behalf of the
undersigned in connection with the foregoing (including the preparation,
execution and filing with the SEC of an application on Form ID for access codes
to file on Edgar).
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require, such
attorneys-in-fact to act in their discretion on information provided to such
attorneys-in-fact without independent verification of such information;
(2) any documents prepared and/or executed by any such attorney-in-fact on
behalf of the undersigned pursuant to this Power of Attorney will be in such
form and will contain such information and disclosure as such attorney-in-fact,
in his or her discretion, deems necessary or desirable;
(3) neither the Company nor such attorney-in-fact assumes (i) any liability for
the undersigned's responsibility to comply with the requirements of the Exchange
Act, (ii) any liability of the undersigned for any failure to comply with such
requirements or (iii) any obligation or liability of the undersigned for profit
disgorgement under Section 16(b) of the Exchange Act; and
(4) this Power of Attorney does not relieve the undersigned from responsibility
for compliance with the undersigned's obligations under the Exchange Act,
including without limitation the reporting requirements under Section 16 of the
Exchange Act.
The undersigned hereby gives and grants the foregoing attorneys-in-fact full
power and authority to do and perform all and every act and thing whatsoever
requisite, necessary or appropriate to be done in and about the foregoing
matters as fully to all intents and purposes as the undersigned might or could
do if present, hereby ratifying all that such attorneys-in-fact of, for and on
behalf of the undersigned, shall lawfully do or cause to be done by virtue of
this Power of Attorney.
This Power of Attorney shall remain in full force and effect until revoked by
the undersigned in a signed writing delivered to such attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 1st day of January, 2017.
Signature: /s/ Conrad D. Brooks
Print Name: Conrad D. Brooks