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 | |
KINGSTOWN CAPITAL PARTNERS, LLC 100 PARK AVENUE, 21ST FLOOR NEW YORK, NY 10017 |
 |  |  | See Explanation of Responses |
Kingstown Partners Master Ltd. 100 PARK AVENUE, 21ST FLOOR NEW YORK, NY 10017 |
 |  |  | See Explanation of Responses |
KINGSTOWN CAPITAL MANAGEMENT L.P. 100 PARK AVENUE, 21ST FLOOR NEW YORK, NY 10017 |
 |  |  | See Explanation of Responses |
KINGSTOWN MANAGEMENT GP LLC 100 PARK AVENUE, 21ST FLOOR NEW YORK, NY 10017 |
 |  |  | See Explanation of Responses |
BLITZER MICHAEL C/O KINGSTOWN CAPITAL 100 PARK AVENUE, 21ST FLOOR NEW YORK, NY 10017 |
 |  |  | See Explanation of Responses |
SHANON GUY C/O KINGSTOWN CAPITAL 100 PARK AVENUE, 21ST FLOOR NEW YORK, NY 10017 |
 |  |  | See Explanation of Responses |
Kingstown Partners II, L.P. 100 PARK AVENUE, 21ST FLOOR NEW YORK, NY 10017 |
 |  |  | See Explanation of Responses |
Ktown, LP 100 PARK AVENUE, 21ST FLOOR NEW YORK, NY 10017 |
 |  |  | See Explanation of Responses |
Kingstown Capital Partners, LLC By: /s/ Michael Blitzer, Managing Member | 07/22/2011 | |
**Signature of Reporting Person | Date | |
Kingstown Partners Master Ltd. By: /s/ Michael Blitzer, Director | 07/22/2011 | |
**Signature of Reporting Person | Date | |
Kingstown Capital Management L.P. By: Kingstown Management GP LLC, its general partner By: /s/ Michael Blitzer, Managing Member | 07/22/2011 | |
**Signature of Reporting Person | Date | |
Kingstown Management GP LLC By: /s/ Michael Blitzer, Managing Member | 07/22/2011 | |
**Signature of Reporting Person | Date | |
Kingstown Partners II, L.P. By: Kingstown Capital Partners, LLC, its general partner By: /s/ Michael Blitzer, Managing Member | 07/22/2011 | |
**Signature of Reporting Person | Date | |
Ktown, LP By: Kingstown Capital Partners, LLC, its general partner By: /s/ Michael Blitzer, Managing Member | 07/22/2011 | |
**Signature of Reporting Person | Date | |
/s/ Michael Blitzer | 07/22/2011 | |
**Signature of Reporting Person | Date | |
/s/ Guy Shanon | 07/22/2011 | |
**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) | The Reporting Persons are members of a Section 13(d) group with respect to securities of Signature Group Holdings, Inc. (the "Issuer") that beneficially owns in excess of 10% of the Issuer's outstanding shares of Common Stock. The Reporting Persons disclaim beneficial ownership of the shares of Common Stock owned in the aggregate by the other members of the Section 13(d) group. |
(2) | This report is filed jointly by Kingstown Capital Partners, LLC ("Kingstown GP"), Kingstown Capital Management L.P. ("Kingstown Capital"), Kingstown Management GP LLC ("Kingstown Management"), Kingstown Partners Master Ltd. ("Master Fund"), Kingstown Partners II, L.P. ("Fund II"), Ktown, LP ("Ktown," and together with Master Fund and Fund II, the "Funds"), Michael Blitzer and Guy Shanon. Kingstown Capital is the investment manager of each of the Funds. Kingstown Management is the general partner of Kingstown Capital. Each of Mr. Blitzer and Mr. Shanon is a managing member of Kingstown Management and Kingstown GP. Each of the Reporting Persons disclaims beneficial ownership of shares of Common Stock of the Issuer not directly owned by it/him, except to the extent of its/his pecuniary interest therein. |
(3) | Represents shares owned directly by Mr. Blitzer. |
(4) | Represents shares owned directly by Fund II. |
(5) | Represents shares owned directly by Ktown. |
(6) | Represents shares owned directly by Master Fund. |