0001620459-20-000007.txt : 20200122 0001620459-20-000007.hdr.sgml : 20200122 20200122164055 ACCESSION NUMBER: 0001620459-20-000007 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200122 DATE AS OF CHANGE: 20200122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Heinlein Daniel CENTRAL INDEX KEY: 0001736807 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36777 FILM NUMBER: 20539309 MAIL ADDRESS: STREET 1: C/O JAMES RIVER GROUP HOLDINGS, LTD. STREET 2: 90 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM 08 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: James River Group Holdings, Ltd. CENTRAL INDEX KEY: 0001620459 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 980585280 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 90 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM 08 BUSINESS PHONE: 1-441-278-4580 MAIL ADDRESS: STREET 1: 90 PITTS BAY ROAD CITY: PEMBROKE STATE: D0 ZIP: HM 08 5 1 wf-form5_157972923794344.xml FORM 5 X0306 5 2019-12-31 0 0 1 0001620459 James River Group Holdings, Ltd. JRVR 0001736807 Heinlein Daniel C/O JAMES RIVER GROUP HOLDINGS, LTD. 90 PITTS BAY ROAD PEMBROKE D0 HM 08 BERMUDA 0 1 0 0 Pres & CEO-Casualty Rein Sgmt Common Shares 2019-06-06 4 M 0 L 15015 32.07 A 33712 D Common Shares 2019-06-06 4 F 0 L 12112 46.49 D 21600 D Share Option (Right to Buy) 32.07 2019-06-06 4 M 0 L 15015 0 D 2023-02-16 Common Shares 15015.0 0 D The shares disposed of were withheld by James River Group Holdings, Ltd. for payment of the exercise price and tax liability incident to the exercise of the options referenced in Table II. 3,003 of the share options became exercisable on February 16, 2017, 6,006 of the share options became exercisable on February 16, 2018 and 6,006 of the share options became exercisable on February 16, 2019. /s/ Daniel Heinlein 2020-01-22