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 |
|
| ||||||||||||||||||||||||||||||
|
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) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Convertible Preferred Stock | Â (6) | Â (7) | Common Stock | 16,343 (1) | $ (8) | D (3) | Â |
Series B Convertible Preferred Stock | Â (6) | Â (7) | Common Stock | 212,708 (2) | $ (9) | D (3) | Â |
Series A Convertible Preferred Stock | Â (6) | Â (7) | Common Stock | 200 (1) | $ (8) | D (4) | Â |
Series B Convertible Preferred Stock | Â (6) | Â (7) | Common Stock | 2,512 (2) | $ (9) | D (4) | Â |
Series A Convertible Preferred Stock | Â (6) | Â (7) | Common Stock | 457 (1) | $ (8) | D (5) | Â |
Series B Convertible Preferred Stock | Â (6) | Â (7) | Common Stock | 5,780 (2) | $ (9) | D (5) | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
TRIDENT II L P C/O MAPLES & CALDER, UGLAND HOUSE BOX 309, SOUTH CHURCH STREET GEORGE TOWN, GRAND CAYMAN, CIÂ |
 |  X |  |  |
TRIDENT CAPITAL II LP C/O MAPLES & CALDER, UGLAND HOUSE BOX 309, SOUTH CHURCH STREET GEORGE TOWN, GRAND CAYMAN, CIÂ |
 |  X |  |  |
MARSH & MCLENNAN CAPITAL PROFESSIONALS FUND LP C/O MAPLES & CALDER, UGLAND HOUSE BOX 309, SOUTH CHURCH STREET GEORGE TOWN, GRAND CAYMAN, CIÂ |
 |  X |  |  |
MARSH & MCLENNAN EMPLOYEES SECURITIES CO LP C/O MAPLES & CALDER, UGLAND HOUSE BOX 309, SOUTH CHURCH STREET GEORGE TOWN, GRAND CAYMAN, CIÂ |
 |  X |  |  |
Trident II, L.P. By: Trident Capital II, L.P., its sole general partner By: CD Trident II, LLC, a general partner By: /s/ David Wermuth, Vice President | 08/08/2005 | |
**Signature of Reporting Person | Date | |
Trident Capital II, L.P. By: CD Trident II, LLC, a general partner By: /s/ David Wermuth, Vice President | 08/08/2005 | |
**Signature of Reporting Person | Date | |
Marsh & McLennan Capital Professionals Fund, L.P. By: Stone Point GP Ltd., its sole general partner By: /s/ David J. Wermuth, Secretary | 08/08/2005 | |
**Signature of Reporting Person | Date | |
Marsh & McLeannan Employees' Securities Company, L.P. By: Stone Point Capital LLC, Attorney-in-Fact By: /s/ David J. Wermuth, Principal | 08/08/2005 | |
**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) | Does not reflect accrued and unpaid dividends payable in Common Stock of JRVR or a 10-for-1 stock split to be effective prior to the closing of the issuer's initial public offering. |
(2) | Does not reflect accrued and unpaid dividends payable in Common Stock of JRVR or a 10-for-1 stock split to be effective prior to the closing of the issuer's initial public offering. |
(3) | Represents shares of convertible preferred stock of JRVR held by Trident. Trident GP is the sole general partner of Trident. The general partners of Trident GP are four single member limited liability companies that are owned by individuals who are members of Stone Point Capital LLC, which serves as the investment manager of Trident and CPF. Each of the single member limited liability companies that acts as a general partner of Trident GP disclaims beneficial ownership of shares of JRVR that are, or may be deemed to be, beneficially owned by Trident, other than shares in which they may be deemed to have a pecuniary interest. Trident disclaims beneficial ownership of shares that are, or may be deemed to be, beneficially owned by CPF and ESC. |
(4) | Represents shares of convertible preferred stock of JRVR held by CPF. Stone Point GP Ltd., a company owned by certain individuals who are members of Stone Point Capital LLC, is the sole general partner of CPF. CPF disclaims beneficial ownership of shares that are, or may be deemed to be, beneficially owned by Trident and ESC. |
(5) | Represents shares of convertible preferred stock of JRVR held by ESC. Marsh & McLennan GP I, Inc. a subsidiary of Marsh & McLennan Companies, Inc., is the sole general partner of ESC. ESC disclaims beneficial ownership of shares that are, or may be deemed to be, beneficially owned by Trident and CPF. |
(6) | Immediate. |
(7) | N/A. |
(8) | 2-for-1. |
(9) | 1-for-1. |
 Remarks: This filing relates to shares of Common Stock of James River Group, Inc. ("JRVR"). Trident II, L.P. ("Trident") is making this joint filing on Form 3 on its behalf and on behalf of Trident Capital II, L.P. ("Trident GP"), Marsh & McLennan Capital Professionals Fund, L.P. ("CPF") and Marsh & McLennan Employees' Securities Company, L.P. ("ESC"). Trident, CPF and ESC have agreed that they will coordinate the timing of the sale of shares of Common Stock of JRVR. |