0000921895-21-001850.txt : 20210712 0000921895-21-001850.hdr.sgml : 20210712 20210712190828 ACCESSION NUMBER: 0000921895-21-001850 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210712 DATE AS OF CHANGE: 20210712 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CONTINENTAL GENERAL INSURANCE CO CENTRAL INDEX KEY: 0000024046 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] STATE OF INCORPORATION: NE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35210 FILM NUMBER: 211086418 BUSINESS ADDRESS: STREET 1: 11001 LAKELINE BLVD., STE. 120 CITY: AUSTIN STATE: TX ZIP: 78717 BUSINESS PHONE: 4023973200 MAIL ADDRESS: STREET 1: 11001 LAKELINE BLVD., STE. 120 CITY: AUSTIN STATE: TX ZIP: 78717 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Continental Insurance Group, Ltd. CENTRAL INDEX KEY: 0001663139 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35210 FILM NUMBER: 211086420 BUSINESS ADDRESS: STREET 1: 11001 LAKELINE BLVD., STE. 120 CITY: AUSTIN STATE: TX ZIP: 78717 BUSINESS PHONE: 7038650700 MAIL ADDRESS: STREET 1: 11001 LAKELINE BLVD., STE. 120 CITY: AUSTIN STATE: TX ZIP: 78717 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Continental LTC, Inc. CENTRAL INDEX KEY: 0001872142 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35210 FILM NUMBER: 211086419 BUSINESS ADDRESS: STREET 1: 11001 LAKELINE BLVD., STE. 120 CITY: AUSTIN STATE: TX ZIP: 78717 BUSINESS PHONE: 866-830-0607 MAIL ADDRESS: STREET 1: 11001 LAKELINE BLVD., STE. 120 CITY: AUSTIN STATE: TX ZIP: 78717 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Continental General Holdings LLC CENTRAL INDEX KEY: 0001872137 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35210 FILM NUMBER: 211086421 BUSINESS ADDRESS: STREET 1: 11001 LAKELINE BLVD., STE. 120 CITY: AUSTIN STATE: TX ZIP: 78717 BUSINESS PHONE: 866-830-0607 MAIL ADDRESS: STREET 1: 11001 LAKELINE BLVD., STE. 120 CITY: AUSTIN STATE: TX ZIP: 78717 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HC2 HOLDINGS, INC. CENTRAL INDEX KEY: 0001006837 STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED STRUCTURAL METAL PRODUCTS [3440] IRS NUMBER: 541708481 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 295 MADISON AVENUE STREET 2: 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-235-2690 MAIL ADDRESS: STREET 1: 295 MADISON AVENUE STREET 2: 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 FORMER COMPANY: FORMER CONFORMED NAME: HC2 Holdings, Inc. DATE OF NAME CHANGE: 20140415 FORMER COMPANY: FORMER CONFORMED NAME: PTGi HOLDING, INC. DATE OF NAME CHANGE: 20131108 FORMER COMPANY: FORMER CONFORMED NAME: PRIMUS TELECOMMUNICATIONS GROUP INC DATE OF NAME CHANGE: 19960814 3 1 form312866con_07122021.xml OWNERSHIP DOCUMENT X0206 3 2021-07-01 0 0001006837 HC2 HOLDINGS, INC. HCHC 0001872137 Continental General Holdings LLC 11001 LAKELINE BLVD., STE. 120 AUSTIN TX 78717 0 0 1 0 0001663139 Continental Insurance Group, Ltd. 11001 LAKELINE BLVD., STE. 120 AUSTIN TX 78717 0 0 1 0 0001872142 Continental LTC, Inc. 11001 LAKELINE BLVD., STE. 120 AUSTIN TX 78717 0 0 1 0 0000024046 CONTINENTAL GENERAL INSURANCE CO 11001 LAKELINE BLVD., STE. 120 AUSTIN TX 78717 0 0 1 0 Series A-3 Convertible Preferred Stock 3.5187 2026-07-01 Common Stock, par value $0.001 per share 1764357 I By: Continental General Insurance Co Series A-4 Convertible Preferred Stock 5.3318 2026-07-01 Common Stock, par value $0.001 per share 1875539 I By: Continental General Insurance Co The Series A-3 Convertible Preferred Stock and the Series A-4 Convertible Preferred Stock are convertible at any time at the option of the holder. Continental General Holdings LLC ("CGH"), Continental Insurance Group, Ltd. ("CIG"), Continental General Insurance Company ("CGIC"), Continental LTC, Inc. ("CLTC") and certain other persons may be deemed to be members of a Section 13(d) group that beneficially owns more than 10% of the Issuer's outstanding Common Stock. The securities reported herein are directly held by CGIC. CLTC serves as the sole owner of CGIC. CIG serves as the sole owner of CLTC and the indirect parent operating company of CGIC. CGH serves as an investment holding company and the sole owner of CIG. By virtue of the foregoing relationships, each of CGH, CIG and CLTC may be deemed to beneficially own the shares beneficially owned directly by CGIC. The reporting persons disclaims beneficial ownership of the shares of Common Stock of the Issuer beneficially owned directly by the other members of the Section 13(d) group except to the extent of its pecuniary interest therein. Continental General Holdings, LLC; By: /s/ Michael Gorzynski, Executive Chair 2021-07-12 Continental Insurance Group, Ltd.; By: /s/ Michael Gorzynski, President 2021-07-12 Continental LTC, Inc.; By: /s/ Michael Gorzynski, President 2021-07-12 Continental General Insurance Company; By: /s/ Michael Gorzynski, Executive Chair 2021-07-12