Initial Statement of Beneficial Ownership (3)
14 Febrero 2020 - 3:36PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Enstar Group LTD |
2. Date of Event Requiring Statement (MM/DD/YYYY)
3/27/2019
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3. Issuer Name and Ticker or Trading Symbol
POSITIVE PHYSICIANS HOLDINGS, INC. [PPHI]
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(Last)
(First)
(Middle)
P.O. BOX HM 2267, WINDSOR PLACE, 3RD FL., 22 QUEEN STREET |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Street)
HAMILTON, D0 HM JX
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | $976180 | I | See footnote (1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 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 |
Explanation of Responses: |
(1) | These shares are owned directly by Enstar Holdings (US) LLC, which is a wholly-owned subsidiary of Enstar USA, Inc., a Georgia corporation, which is a wholly-owned subsidiary of Enstar (US Asia-Pac) Holdings Limited, a corporation organized in the UK, which is a wholly-owned subsidiary of Kenmare Holdings Ltd., a Bermuda company, which is a wholly-owned subsidiary of Enstar Group Limited, a Bermuda company ("Enstar"). |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Enstar Group LTD P.O. BOX HM 2267, WINDSOR PLACE, 3RD FL. 22 QUEEN STREET HAMILTON, D0 HM JX |
| X |
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Kenmare Holdings Ltd. P.O. BOX 2267, WINDSOR PLACE, 3RD FLOOR 22 QUEEN STREET HAMILTON, D0 HM JX |
| X |
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Enstar (US Asia-Pac) Holdings Ltd 3 GUILDFORD BUSINESS PARK GUILDFORD, X0 GU2 8XG |
| X |
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Enstar USA, Inc. 150 2ND AVENUE NORTH 3RD FLOOR ST. PETERSBURG, FL 33701 |
| X |
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Enstar Holdings (US) LLC 150 2ND AVENUE NORTH 3RD FLOOR ST. PETERSBURG, FL 33701 |
| X |
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Signatures
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Enstar Group Limited, By: /s/ Guy Bowker, Title: CFO | | 2/14/2020 |
**Signature of Reporting Person | Date |
Kenmare Holdings Ltd., By: /s/ Guy Bowker, Title: Director | | 2/14/2020 |
**Signature of Reporting Person | Date |
Enstar (US Asia-Pac) Holdings Limited, By: /s/ Siobhan Hextall, Title: Director | | 2/14/2020 |
**Signature of Reporting Person | Date |
Enstar USA, inc., By: /s/ Paul Brockman, Title: President & CEO | | 2/14/2020 |
**Signature of Reporting Person | Date |
Enstar Holdings (US) LLC, By: /s/ Paul Brockman, Title: President & CEO | | 2/14/2020 |
**Signature of Reporting Person | Date |
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