0000905148-17-000266.txt : 20170210
0000905148-17-000266.hdr.sgml : 20170210
20170210162619
ACCESSION NUMBER: 0000905148-17-000266
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170210
DATE AS OF CHANGE: 20170210
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Athene Holding Ltd
CENTRAL INDEX KEY: 0001527469
STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311]
IRS NUMBER: 980628973
STATE OF INCORPORATION: D0
BUSINESS ADDRESS:
STREET 1: 96 PITTS BAY ROAD
CITY: PEMBROKE
STATE: D0
ZIP: HM08
BUSINESS PHONE: 441-279-8400
MAIL ADDRESS:
STREET 1: 96 PITTS BAY ROAD
CITY: PEMBROKE
STATE: D0
ZIP: HM08
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Belardi James Richard
CENTRAL INDEX KEY: 0001689315
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37963
FILM NUMBER: 17593714
MAIL ADDRESS:
STREET 1: C/O ATHENE HOLDING LTD.
STREET 2: CHESNEY HOUSE, 96 PITTS BAY ROAD
CITY: PEMBROKE
STATE: D0
ZIP: HM08
FORMER NAME:
FORMER CONFORMED NAME: Berlardi James Richard
DATE OF NAME CHANGE: 20161104
5
1
form5.xml
X0306
5
2016-12-31
0
0
0001527469
Athene Holding Ltd
ATH
0001689315
Belardi James Richard
C/O ATHENE HOLDING LTD., CHESNEY HOUSE,
FIRST FLOOR, 96 PITTS BAY ROAD
PEMBROKE
D0
HM08
BERMUDA
true
true
Chairman, CEO and CIO
Class A Common Shares
2016-12-31
5
G
0
1750
0
D
915246
I
By James and Leslie Belardi Family Trust
Class A Common Shares
2016-12-31
5
G
0
1750
0
A
1750
I
By Belardi Family Irrevocable Trust
Of these Class A common shares, 117,221 were originally issued pursuant to restricted share awards which vest one third on each of the first three anniversaries of the vesting start date and immediately upon a sale or change in control of the Issuer. 30,972 of such Class A common shares remain unvested as of December 31, 2016.
Mr. Belardi does not serve as trustee of the Belardi Family Irrevocable Trust and disclaims beneficial ownership of the Class A common shares reported as indirectly owned through the Belardi Family Irrevocable Trust, except to the extent of his or its pecuniary interest therein, if any, and this report shall not be deemed an admission that Mr. Belardi is the beneficial owner of such shares for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
/s/ Ira Rosenblatt, attorney-in-fact
2017-02-10