1. Name and Address of Reporting Person*
95 WELLINGTON STREET WEST |
SUITE 800 |
(Street)
TORONTO, ONTARIO, |
A6 |
M5J 2N7 |
|
2. Date of Event Requiring Statement
(Month/Day/Year) 07/06/2017
|
3. Issuer Name and Ticker or Trading Symbol
Allied World Assurance Co Holdings, AG
[ AWH ]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
|
1. Name and Address of Reporting Person*
95 WELLINGTON STREET WEST |
SUITE 800 |
(Street)
TORONTO, ONTARIO, |
A6 |
M5J 2N7 |
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
95 WELLINGTON STREET WEST |
SUITE 800 |
(Street)
TORONTO, ONTARIO, |
A6 |
M5J 2N7 |
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
95 WELLINGTON STREET WEST |
SUITE 800 |
(Street)
TORONTO, ONTARIO, |
A6 |
M5J 2N7 |
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
1600 CATHEDRAL PLACE |
925 WEST GEORGIA ST. |
(Street)
VANCOUVER, BC, |
A1 |
V6C 3L3 |
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
95 WELLINGTON STREET WEST |
SUITE 800 |
(Street)
TORONTO, ONTARIO, |
A6 |
M5J 2N7 |
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
C/O LACMONT AG, HOFSTRASSE 1A, |
|
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
|
/s/ Paul Rivett, President, on behalf of Fairfax Financial Holdings Limited |
07/12/2017 |
|
/s/ V. Prem Watsa |
07/12/2017 |
|
/s/ V. Prem Watsa, President, on behalf of 1109519 Ontario Limited |
07/12/2017 |
|
/s/ V. Prem Watsa, President, on behalf of The Sixty Two Investment Company Limited |
07/12/2017 |
|
/s/ V. Prem Watsa, President, on behalf of 810679 Ontario Limited |
07/12/2017 |
|
/s/ Ronald Schokking, Director, on behalf of Fairfax Financial Holdings (Switzerland) GmbH |
07/12/2017 |
|
** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
5
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |