0001567619-21-007952.txt : 20210413
0001567619-21-007952.hdr.sgml : 20210413
20210413115052
ACCESSION NUMBER: 0001567619-21-007952
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210302
FILED AS OF DATE: 20210413
DATE AS OF CHANGE: 20210413
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: 21822448
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
2021-03-02
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
Ordinary Shares, Par Value $0.001
7225
I
See footnote (1)
Ordinary Shares, Par Value $0.001
47045
I
See footnote (2)
Ordinary Shares, Par Value $0.001
35000
D
Share Options (right to buy)
6.00
2021-03-02
4
A
0
50000
0
A
2031-03-02
Ordinary Shares
50000
50000
D
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.
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.
This option grant was previously reported on a Form 8-K filed by the issuer on March 8, 2021.
These share options vest in increments of 6.25% each on a quarterly basis, commencing on the date granted, and continuing on April 1st, July 1st, October 1st and January 1st of each calendar year, over a four-year period.
/s/ Raymond E. Cabillot
2021-04-12