0001567619-21-008179.txt : 20210416 0001567619-21-008179.hdr.sgml : 20210416 20210416114751 ACCESSION NUMBER: 0001567619-21-008179 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210302 FILED AS OF DATE: 20210416 DATE AS OF CHANGE: 20210416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PATEL MAYUR CENTRAL INDEX KEY: 0001603697 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36346 FILM NUMBER: 21830582 MAIL ADDRESS: STREET 1: 12 CHRIS ELIOT COURT CITY: HUNT VALLEY STATE: MD ZIP: 21030 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 0001603697 PATEL MAYUR 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 88000 D Ordinary Shares, Par Value $0.001 30000 I Mayur Patel IRA Account Share Options (right to buy) 6.00 2021-03-02 4 A 0 50000 0 A 2031-03-02 Ordinary Shares 50000 50000 D Warrants to Purchase Ordinary Shares 7.5 2024-03-26 Ordinary Shares 249000 249000 D 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/ Mayur Patel 2021-04-16