-----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, NLl0zTEY0TS6YiImBxo/Nhy4NQKzrSkiO9Be5uEeKqej8OOf8fw8AUAi/oStje5j 5i4dW7sNjOAqvw8QZ7Mbeg== 0000950156-97-000639.txt : 19970818 0000950156-97-000639.hdr.sgml : 19970818 ACCESSION NUMBER: 0000950156-97-000639 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970815 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TERRA NOVA BERMUDA HOLDING LTD CENTRAL INDEX KEY: 0000935937 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-51441 FILM NUMBER: 97664377 BUSINESS ADDRESS: STREET 1: DALLAS BUILDING 7 VICTORIA STREET CITY: HAMILTON HM 11 BERMU STATE: D0 BUSINESS PHONE: 8092927731 MAIL ADDRESS: STREET 1: POST OFFICE BOX HM 664 STREET 2: HAMILTON HM CX BERMUDA STATE: D0 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: FULKERSON ALLAN W CENTRAL INDEX KEY: 0001043316 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: ONE LIBERTY SQUARE CITY: BOSTON STATE: MA ZIP: 02109 BUSINESS PHONE: 6174823060 MAIL ADDRESS: STREET 1: ONE LIBERTY SQUARE CITY: BOSTON STATE: MA ZIP: 02109 SC 13G 1 TERRA NOVA (BERMUDA) HOLDINGS LTD. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* Terra Nova (Bermuda) Holdings Ltd. (Name of Issuer) Class A Ordinary Shares, $5.80 Par Value (Title of Class of Securities) 000G876151 (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Page 1 of 5 pages. CUSIP No. 237920-10-3 13G Page 2 of 5 pages. ----------- - - 1 NAME OF REPORTING PERSON Allan W. Fulkerson S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ---- Not Applicable (b) ---- 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. NUMBER OF 5 SOLE VOTING POWER 1,500 SHARES BENEFICIALLY 6 SHARED VOTING POWER 1,461,696 OWNED BY EACH 7 SOLE DISPOSITIVE POWER 1,500 REPORTING PERSON 8 SHARED DISPOSITIVE POWER 1,461,696 WITH 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,463,196 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.1% 12 TYPE OF REPORTING PERSON* IN *SEE INSTRUCTION BEFORE FILLING OUT! Page 3 of 5 pages. ITEM 1 (A) NAME OF ISSUER. Terra Nova (Bermuda) Holdings Ltd. (B) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICE. Richmond House 12 Par-La-Ville Road Hamilton HM 008, Bermuda ITEM 2 (A) NAME OF PERSON FILING. Allan W. Fulkerson (B) ADDRESS OF PRINCIPAL BUSINESS OFFICE. Century Capital Management, Inc. One Liberty Square Boston, MA 02109 (C) CITIZENSHIP. U.S.A. (D) TITLE OF CLASS OF SECURITIES. Class A Ordinary Shares, $5.80 par value (E) CUSIP NUMBER. 000G876151 ITEM 3. TYPE OF REPORTING PERSON. Not applicable; this statement is not filed pursuant to Rule 13d-1(b) or Rule 13d-2(b). Page 4 of 5 pages. ITEM 4. OWNERSHIP. (A) AMOUNT BENEFICIALLY OWNED AS OF DECEMBER 31, 1996. 1,463,196(1) (B) PERCENTAGE OF CLASS. 6.1% (C) NUMBER OF SHARES AS TO WHICH SUCH PERSON HAS: (I) SOLE POWER TO VOTE OR TO DIRECT THE VOTE: 1,500 (II) SHARED POWER TO VOTE OR TO DIRECT THE VOTE: 1,461,696 (III) SOLE POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF: 1,500 (IV) SHARED POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF: 1,461,696 ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. Not applicable. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Mr. Fulkerson is the president and either sole or controlling stockholder of three entities (two registered investment advisors and one general partner) exercising voting and investment power over an aggregate of 1,461,696 shares held of record by three limited partnerships. Accordingly, Mr. Fulkerson is deemed to have indirect beneficial ownership over all such shares. Each of the three limited partnerships is a passive investment fund managed for the benefit of its diverse limited partner investors, and such entities do not act as a group with respect to the shares of the issuer. Mr. Fulkerson disclaims beneficial ownership of all shares beneficially owned by such entities, except to the extent of his actual pecuniary interest in such shares. - ------------ (1) Includes an aggregate of 1,461,696 shares as to which investment advisory entities controlled by Mr. Fulkerson hold voting and investment power and as to which Mr. Fulkerson disclaims beneficial ownership except to the extent of his actual pecuniary interest in such shares. See also Item 6. Page 5 of 5 pages. ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. Not applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not applicable. ITEM 9. NOTICE OF DISSOLUTION OF GROUP. Not applicable. ITEM 10. CERTIFICATION. Not applicable; this statement is not filed pursuant to Rule 13d-1(b). EXHIBITS. None. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. August 4, 1997 ------------------------ Date /s/ Allan W. Fulkerson ------------------------ Allan W. Fulkerson -----END PRIVACY-ENHANCED MESSAGE-----