-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TaqBMxDHao9ugYZ4bv1MSKj7666fo6/dZb9vnSdjfhJ15tI2MhBa32lCWgl1j5Eh efP/6Xpd4+HdT6Na1CjWdg== 0001181365-03-000001.txt : 20030508 0001181365-03-000001.hdr.sgml : 20030508 20030508095101 ACCESSION NUMBER: 0001181365-03-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20030507 FILED AS OF DATE: 20030508 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FASS STEVE ELLIOTT CENTRAL INDEX KEY: 0001181365 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08993 FILM NUMBER: 03687283 BUSINESS ADDRESS: STREET 1: 28 GATE STREET CITY: WHITE RIVER JUNCTION STATE: VT ZIP: 05001-7066 BUSINESS PHONE: 8022954500 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WHITE MOUNTAINS INSURANCE GROUP LTD CENTRAL INDEX KEY: 0000776867 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 942708455 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 28 GATE STREET CITY: WHITE RIVER JUNCTION STATE: VT ZIP: 05001-7066 BUSINESS PHONE: 8022954500 MAIL ADDRESS: STREET 1: 28 GATES STREET CITY: WHITE RIVER JUNCTION STATE: VT ZIP: 05001-7066 FORMER COMPANY: FORMER CONFORMED NAME: WHITE MOUNTAINS INSURANCE GROUP INC DATE OF NAME CHANGE: 19990603 FORMER COMPANY: FORMER CONFORMED NAME: FUND AMERICAN ENTERPRISES HOLDINGS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: FUND AMERICAN COMPANIES INC DATE OF NAME CHANGE: 19920701 4 1 edgar.xml PRIMARY DOCUMENT X0101 42003-05-07 0000776867 WHITE MOUNTAINS INSURANCE GROUP LTD WTM0001181365 FASS STEVE ELLIOTT 1100Pres. & CEO, FolksamericaCommon Shares (restricted)2003-05-072003-05-074S02500.01D0DCommon Shares1988-08-081988-08-084A0580A3727I401(k)Phantom Shares02003-05-072003-05-074A02500382.75A2003-06-011988-08-08< value>Common Shares25002500DTo facilitate the continued beneficial ownership of Common Shares by the Reporting Person in a tax-efficient manner, the Reporting Person and WTM have agreed to cancel the Restricted Shares (shown on Table I above) in exchange for an equal number of Phantom Shares credited to the Reporting Person in the Folksamerica Holding Comoany deferred compensation plan (shown on Table II above) (the "Phantom Shares"). WTM is effecting the cancellation through the repurchase of the Restricted Shares for nominal consider ation of $.01 per share. Since December 31, 2002, the date of Reporting Person's last filing, Reporting Person acquired 58 shares of WTM's Common Shares under the Folksamerica 401(k) Plan. WTM Common Shares are purchased at fair market value on the date of purchase. The information in this report is based on a plan statement dated as of April 30, 2003.Phantom Shares are convertible into Common Shares on a 1 for 1 basis.The Phantom Shares are payable in cash or, at the election of the Company, in Common Shares following termination of the Reporting Person's employment with the Company or beginning at an earlier date selected by the Reporting Person.Based on the average between the high and low bid price of WTM Common Shares on May 7, 2003.Dennis Beaulieu, by Power of Attorney2003-05-08 EX-24 3 sf_poa2.txt POWER OF ATTORNEY The undersigned appoints Dennis P. Beaulieu, the undersigned's true and lawful attorney-in-fact to execute for and on behalf of the undersigned, Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5. The undersigned has caused this Power of Attorney to be executed as of this 20th day of January, 2003. /s/ Steven E. Fass -----END PRIVACY-ENHANCED MESSAGE-----