0001567619-21-007955.txt : 20210413 0001567619-21-007955.hdr.sgml : 20210413 20210413120929 ACCESSION NUMBER: 0001567619-21-007955 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: Madhu Sanjay CENTRAL INDEX KEY: 0001439935 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36346 FILM NUMBER: 21822492 MAIL ADDRESS: STREET 1: 425 EAST DAVIS BLVD. CITY: TAMPA STATE: FL ZIP: 33606 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 0001439935 Madhu Sanjay SUITE 201, 42 EDWARD STREET GEORGETOWN GRAND CAYMAN E9 KY1-9006 CAYMAN ISLANDS 1 1 0 0 CEO, President Ordinary Shares 125231 I See Footnote Ordinary Shares 40000 D Share Options (right to buy) 6.00 2021-03-02 4 A 0 175000 0 A 2031-03-02 Ordinary Shares 175000 175000 D Share Options (right to buy) 2.00 2029-03-16 Ordinary Shares 200000 200000 D Share Options (right to buy) 6.06 2027-01-20 Ordinary Shares 25000 25000 D Share Options (right to buy) 6.00 2026-01-16 Ordinary Shares 25000 25000 D Share Options (right to buy) 6.00 2025-01-23 Ordinary Shares 120000 120000 D Warrants to Purchase Ordinary Shares 7.5 2024-03-26 Ordinary Shares 105000 105000 I See footnote Warrants to Purchase Ordinary Shares 7.5 2024-03-26 Ordinary Shares 98768 98768 I See footnote Shares indirectly held in the name of Universal Finance and Investments, L.C., which is 100% owned by the Reporting Person. 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. Currently exercisable. /s/ Sanjay Madhu 2021-04-12