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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants | $ 1.03 | 06/01/2010 | 06/11/2010 | P | 620,000 (6) | 06/11/2010 | 06/11/2020 | Signature Group Holdings, Inc. - Common Shares | 620,000 (6) | $ 0.02 | 3,100,000 (6) | D | |||
Warrants | $ 1.03 | 06/11/2010 | 06/11/2010 | P | 620,000 (6) | 06/11/2011 | 06/11/2020 | Signature Group Holdings, Inc. - Common Shares | 620,000 (6) | $ 0.02 | 3,100,000 (6) | D | |||
Warrants | $ 1.03 | 06/11/2010 | 06/11/2010 | P | 620,000 (6) | 06/11/2012 | 06/11/2020 | Signature Group Holdings, Inc. - Common Shares | 620,000 (6) | $ 0.02 | 3,100,000 (6) | D | |||
Warrants | $ 1.03 | 06/11/2010 | 06/11/2010 | P | 620,000 (6) | 06/11/2013 | 06/11/2020 | Signature Group Holding, Inc. - Common Shares | 620,000 (6) | $ 0.02 | 3,100,000 (6) | D | |||
Warrants | $ 1.03 | 06/11/2010 | 06/11/2010 | P | 620,000 (6) | 06/11/2014 | 06/11/2020 | Signature Group Holding, Inc. - Common Shares | 620,000 (6) | $ 0.02 | 3,100,000 (6) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
GROSSMAN KENNETH S 18 NORFOLK ROAD GREAT NECK, NY 11020 |
X |
/s/ Kenneth Grossman | 08/02/2010 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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) | On June 11, 2010 Atlantic Beach Partners purchased 475,000 common shares of Signature Group Holdings, Inc (SGGH.PK) at $0.80 per share. Kenneth Grossman is a partner in Atlantic Beach with his brother. |
(2) | On June 11, 2010, pursuant to a Chapter 11 Plan of Reorganization of Fremont General Corporation, the Kenneth Grossman Pension Plan exchanged 27,995 shares of Trust Originated Preferred Securities (TOPrS) for cash of $11.25 per TOPrS share, 5.25 common shares of Signature Group Holdings, Inc. (SGGH.PK) per TOPrS share and 9% Notes of $9.75 in principal per TOPrS share in denonimations of $5,000. |
(3) | The TOPrS disposition price per share on conversion is calculated as follows: Cash of $11.25 per TOPrS share + Notes of $9.75 in principal per TOPrS share + $3.78 (5.25 Common Shares per TOPrS share @ $.72 per common share) = $24.78 |
(4) | The Closing Price of SGGH.PK on the Plan effective date of June 11, 2010 was $.72 |
(5) | The Notes acquisition price is based on denominations of $5,000 units @ $9.75 in prinicpal per TOPrS share. (27,995 x 9.75) / $5,000 = 54.59 Notes in denominations of $5,000 each. |
(6) | On June 11, 2010, Kenneth Grossman acquired 3,100,000 Warrants for $0.02 per warrant share to purchase common shares in Signature Group Holdings, Inc. (SGGH.PK) at $1.03 per share. The Warrants vest as to common stock as follows: 20% on the Effective Date June 11, 2010, and 20% each year in annual installments thereafter until the Warrants are fully vested on the fourth anniversary date of the Effective Date. |