0001567619-16-002676.txt : 20160728 0001567619-16-002676.hdr.sgml : 20160728 20160728214331 ACCESSION NUMBER: 0001567619-16-002676 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20160728 FILED AS OF DATE: 20160728 DATE AS OF CHANGE: 20160728 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Kinsale Capital Group, Inc. CENTRAL INDEX KEY: 0001669162 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2221 EDWARD HOLLAND DRIVE, SUITE 600 CITY: RICHMOND STATE: VA ZIP: 23230 BUSINESS PHONE: (804) 289-1300 MAIL ADDRESS: STREET 1: 2221 EDWARD HOLLAND DRIVE, SUITE 600 CITY: RICHMOND STATE: VA ZIP: 23230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moelis Capital Partners LLC CENTRAL INDEX KEY: 0001680789 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37848 FILM NUMBER: 161791757 BUSINESS ADDRESS: STREET 1: 399 PARK AVENUE STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 917-719-5700 MAIL ADDRESS: STREET 1: 399 PARK AVENUE STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moelis Capital Partners Opportunity Fund I LLC CENTRAL INDEX KEY: 0001680826 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37848 FILM NUMBER: 161791758 BUSINESS ADDRESS: STREET 1: 399 PARK AVENUE STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 917-719-5700 MAIL ADDRESS: STREET 1: 399 PARK AVENUE STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moelis Capital Partners Opportunity Fund I-A, LP CENTRAL INDEX KEY: 0001680787 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37848 FILM NUMBER: 161791759 BUSINESS ADDRESS: STREET 1: 399 PARK AVENUE STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 917-719-5700 MAIL ADDRESS: STREET 1: 399 PARK AVENUE STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moelis Capital Partners Opportunity Fund I, LP CENTRAL INDEX KEY: 0001680814 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37848 FILM NUMBER: 161791760 BUSINESS ADDRESS: STREET 1: 399 PARK AVENUE STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 917-719-5700 MAIL ADDRESS: STREET 1: 399 PARK AVENUE STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOELIS KENNETH CENTRAL INDEX KEY: 0001604686 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37848 FILM NUMBER: 161791761 MAIL ADDRESS: STREET 1: C/O MOELIS & COMPANY STREET 2: 399 PARK AVENUE, 5TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 3 1 form3.xml X0206 3 2016-07-28 0 0001669162 Kinsale Capital Group, Inc. KNSL 0001604686 MOELIS KENNETH 399 PARK AVENUE, 6TH FLOOR NEW YORK NY 10022 true 0001680814 Moelis Capital Partners Opportunity Fund I, LP 399 PARK AVENUE, 6TH FLOOR NEW YORK NY 10022 true 0001680787 Moelis Capital Partners Opportunity Fund I-A, LP 399 PARK AVENUE, 6TH FLOOR NEW YORK NY 10022 true 0001680826 Moelis Capital Partners Opportunity Fund I LLC 399 PARK AVENUE, 6TH FLOOR NEW YORK NY 10022 true 0001680789 Moelis Capital Partners LLC 399 PARK AVENUE, 6TH FLOOR NEW YORK NY 10022 true Common Stock, par value $0.01 per share 9997168 I By Moelis Capital Partners Opportunity Fund I, LP Common Stock, par value $0.01 per share 764606 I By Moelis Capital Partners Opportunity Fund I-A, LP Moelis Capital Partners Opportunity Fund I LLC ("MCPOF I") is the general partner of each of Moelis Capital Partners Opportunity Fund I, LP ("Opportunity Fund I") and Moelis Capital Partners Opportunity Fund I-A, LP ("Opportunity Fund I-A" and, together with Opportunity Fund I, collectively, the "Moelis Funds"). Moelis Capital Partners LLC ("MCP") is the managing member of MCPOF I. Kenneth D. Moelis is the chief executive officer of MCP. Accordingly, Mr. Moelis may be deemed to share voting and dispositive power with respect to the shares held by the Moelis Funds. Each of the Reporting Persons disclaims beneficial ownership of these securities except to the extent of its or his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. /s/ Christopher Ryan, Christopher Ryan, a Managing Director of MCP, the managing member of MCPOF I, the general partner of Opportunity Fund I 2016-07-28 /s/ Christopher Ryan, Christopher Ryan, a Managing Director of MCP, the managing member of MCPOF I, the general partner of Opportunity Fund I-A 2016-07-28 /s/ Christopher Ryan, Christopher Ryan, a Managing Director of MCP, the managing member of MCPOF I 2016-07-28 /s/ Christopher Ryan, Christopher Ryan, a Managing Director of MCP 2016-07-28 /s/ Christopher Ryan, as attorney-in-fact for Kenneth D. Moelis 2016-07-28 EX-24 2 s001374x5_ex24.htm POWER OF ATTORNEY
Exhibit 24.1

LIMITED POWER OF ATTORNEY
FOR
SECTION  16(a) FILINGS

Know all by these presents, that the undersigned hereby constitutes and appoints each of Christopher Ryan and Osamu Watanabe the undersigned’s true and lawful attorney-in-fact to:

(l) Prepare, execute in the undersigned’s name and on the undersigned’s behalf, and submit to the U .S. Securities and Exchange Commission (the “SEC”) a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned (and any corporation, partnership, limited liability company or other person for which the undersigned is an officer, director, stockholder, general partner, member or authorized signatory) to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC.

(2) Execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer, director, stockholder, general partner and/or member of any corporation, partnership, limited liability company or other person, Forms 3, 4, and 5 and amendments thereto relating to the securities of Kinsale Capital Group, Inc. (the “Company”) in accordance with Section l6(a) of the Securities Exchange Act of 1934 and the rules thereunder;

(3) Do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5 or amendment thereto and timely file such form with the SEC and any stock exchange or similar authority; and

(4) Take any other action of any type whatsoever which, in the opinion of such attorney-in-fact, may be necessary or desirable in connection with the foregoing authority, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Limited Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever required, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that each such attorney-in-fact, or any such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this Limited Power of Attorney and the rights and powers herein granted.  The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

This Limited Power of Attorney shall remain in full force and effect until the undersigned (and each corporation, partnership, limited liability company and other person referred to above) is no longer required to file Forms 3, 4, and 5 with respect to the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. This Limited Power of Attorney may be filed with the SEC as a confirming statement of the authority granted herein.

[Signature Page Follows]

IN WITNESS WHEREOF, the undersigned has caused this Limited Power of Attorney to be executed as of this 27 day of July, 2016.

By:
/s/ Kenneth D. Moelis
    
 
Kenneth D. Moelis