0001567619-18-007311.txt : 20181204
0001567619-18-007311.hdr.sgml : 20181204
20181204135900
ACCESSION NUMBER: 0001567619-18-007311
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181203
FILED AS OF DATE: 20181204
DATE AS OF CHANGE: 20181204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CABILLOT RAYMOND E
CENTRAL INDEX KEY: 0001361476
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36346
FILM NUMBER: 181216207
MAIL ADDRESS:
STREET 1: 3033 EXCELSIOR BLVD.
STREET 2: STE 560
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55416
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: OXBRIDGE RE HOLDINGS Ltd
CENTRAL INDEX KEY: 0001584831
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 981150254
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: STRATHVALE HOUSE, 2ND FLOOR, PO BOX 469
STREET 2: 90 NORTH CHURCH STREET
CITY: GEORGETOWN
STATE: E9
ZIP: KY1-9006
BUSINESS PHONE: 345-749-7570
MAIL ADDRESS:
STREET 1: STRATHVALE HOUSE, 2ND FLOOR, PO BOX 469
STREET 2: 90 NORTH CHURCH STREET
CITY: GEORGETOWN
STATE: E9
ZIP: KY1-9006
4
1
doc1.xml
FORM 4
X0306
4
2018-12-03
0
0001584831
OXBRIDGE RE HOLDINGS Ltd
OXBR
0001361476
CABILLOT RAYMOND E
C/O OXBRIDGE RE HOLDINGS LIMITED
103 S. CHURCH ST., P.O. BOX 469
GRAND CAYMAN
E9
KY1-9006
CAYMAN ISLANDS
1
0
0
0
Warrants to purchase ordinary shares
7.5
2018-12-03
4
S
0
127845
0.0216
D
2019-03-31
Ordinary Shares
127845
124780
I
See Footnote (2)
Warrants to purchase ordinary shares
7.5
2018-12-03
4
S
0
23900
0.0216
D
2019-03-31
Ordinary Shares
23900
23400
I
See Footnote (3)
Immediately exercisable.
Shares indirectly held in the name of Farnam Street Capital for the benefit of and as the General Partner of Farnam Street Partners. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of the reporting person's pecuniary interest in such securities.
Shares indirectly held in the name of Farnam Street Capital for the benefit of and as the General Partner of FS Special Opportunities I Fund. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for the purposes of Section 16 or for any other purpose, except to the extent of the reporting person's pecuniary interest in such securities.
/s/ Curt P. Creely, Attorney-in-Fact for Raymond E. Cabillot
2018-12-04