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 | |
Syncora Private Trust Co Ltd RICHMOND HOUSE 12 PAR LA VILLE ROAD HAMILTON, D0 HM081 |
 |  |  | Trustee of trust owning > 10% |
/s/ Craig MacIntyre | 11/26/2008 | |
**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) | Reporting Person is filing this Form 3 solely because it may be deemed to have beneficial ownership pursuant to Section 13(d) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), of 30,069,049 shares of Common Shares, par value $.01 per share (the "Shares"), of Syncora Holdings Ltd ("Syncora") that Reporting Person holds as trustee of the CCRA Purpose Trust and that are subject to the shareholder agreement dated November 18, 2008 between Syncora and Reporting Person (the "Shareholder Agreement"). For additional information regarding the Shareholder Agreement, see the Statement on Schedule 13D filed by Reporting Person on the date hereof. |
(2) | Neither the filing of this Form 3 nor any of its contents shall be deemed to constitute an admission by Reporting Person that it is the beneficial owner of the Shares for purposes of Section 13(d) of the Exchange Act, or for any other purpose, and such beneficial ownership thereof is expressly disclaimed. Reporting Person does not have any "pecuniary interest" in the Shares. |