0001104659-19-012140.txt : 20190301 0001104659-19-012140.hdr.sgml : 20190301 20190301183039 ACCESSION NUMBER: 0001104659-19-012140 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190227 FILED AS OF DATE: 20190301 DATE AS OF CHANGE: 20190301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davis Jeffrey W CENTRAL INDEX KEY: 0001758268 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38731 FILM NUMBER: 19651163 MAIL ADDRESS: STREET 1: 14 WESLEY STREET CITY: HAMILTON STATE: D0 ZIP: HM11 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Sirius International Insurance Group, Ltd. CENTRAL INDEX KEY: 0001744894 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 980529995 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 14 WESLEY STREET, 5TH FLOOR CITY: HAMILTON STATE: D0 ZIP: HM11 BUSINESS PHONE: 1-441-278-3140 MAIL ADDRESS: STREET 1: 14 WESLEY STREET, 5TH FLOOR CITY: HAMILTON STATE: D0 ZIP: HM11 4 1 a4.xml 4 X0306 4 2019-02-27 0 0001744894 Sirius International Insurance Group, Ltd. SG 0001758268 Davis Jeffrey W 14 WESLEY STREET HAMILTON D0 HM 11 BERMUDA 0 1 0 0 EVP, CRO & Chief Actuary Common Shares 2019-02-27 4 A 0 16437 0 A 57437 D Common Shares 2019-02-27 4 A 0 10588 0 A 68025 D Common Shares 2019-02-27 4 A 0 56394 0 A 124419 D Common Shares 2019-02-27 4 F 0 3963 12.75 D 120456 D /s/ Gene Boxer, his attorney-in-fact 2019-03-01