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