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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 | ||||||||
Option to Purchase Common Shares | $ 27 | 01/10/2005 | J | $ 0 (1) (2) | 11/01/2002 | 11/01/2012 | Common Shares | 597,493 (1) (2) | $ 0 | 597,493 (1) (2) | D | ||||
Option to Purchase Common Shares | $ 27 | 01/10/2005 | J | $ 0 (1) (2) | 11/01/2002 | 11/01/2012 | Common Shares | 104,647 (1) (2) | $ 0 | 104,647 (1) (2) | I | By St. Paul Reinsurance Company Limited, a wholly owned subsidiary of Reporting Person |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ST PAUL TRAVELERS COMPANIES INC 385 WASHINGTON STREET ST. PAUL, MN 55102 |
10% owner before transaction |
Bruce A. Backberg | 01/12/2005 | |
**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 January 10, 2005, the option agreements pursuant to which 5,105,740 Common Shares were issuable to Reporting Person and 894,260 Common Shares were issuable to St. Paul Reinsurance Company Limited, a wholly owned subsidiary of Reporting Person, were amended and restated to provide that any exercise of the options pursuant to such agreements will be settled on a net share basis, which will result in the issuance of a number of Common Shares equal to the excess of the market price per share, determined in accordance with the amended agreements, over $27.00 less the par value per share multiplied by the number of Common Shares that would be issuable in a gross cash settlement upon exercise of the options, divided by that market price per share. |
(2) | If the determination of market price per share had been made as of the close of business on January 10, 2005, the number of Common Shares issuable to Reporting Person and St. Paul Reinsurance Company Limited would be 597,493 and 104,647, respectively. |