UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Commonwealth Annuity & Life Reinsurance Co Ltd VICTORIA PLACE, 5TH FL 31 VICTORIA ST HAMILTON, D0 HM 10 |
 |  X |  |  |
Commonwealth Re Midco VICTORIA PLACE, 5TH FL 31 VICTORIA ST HAMILTON, D0 HM 10 |
 |  X |  |  |
Global Atlantic Financial Life Ltd C/O ARIEL RE BDA LIMITED, VICTORIA PLACE 5TH FL, 31 VICTORIA ST HAMILTON, D0 HM 10 |
 |  X |  |  |
Global Atlantic Financial Group C/O ARIEL RE BDA LIMITED, VICTORIA PLACE 5TH FL, 31 VICTORIA ST HAMILTON, D0 HM 10 |
 |  X |  |  |
Commonwealth Annuity and Life Reinsurance Company Limited: /s/ Janice Weidenborner, Senior Vice President and Assistant Secretary | 10/30/2013 | |
**Signature of Reporting Person | Date | |
Commonwealth Re Midco: /s/ April Galda, Senior Vice President | 10/30/2013 | |
**Signature of Reporting Person | Date | |
Global Atlantic Financial Life Limited: /s/ April Galda, Senior Vice President | 10/30/2013 | |
**Signature of Reporting Person | Date | |
Global Atlantic Financial Group: /s/ April Galda, Senior Vice President | 10/30/2013 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Shares held directly by Commonwealth Annuity and Life Reinsurance Company Limited ("CWA Re") and indirectly by each of the other reporting persons. CWA Re is a wholly owned subsidiary of Commonwealth Re Midco, which is a wholly owned subsidiary of Global Atlantic Financial Life Limited, which is a subsidiary of Global Atlantic Financial Group ("GAFG"). By virtue of these relationships, GAFG and certain other wholly owned intermediate holding companies may be deemed to beneficially own the shares held by CWA Re. |