SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Maiden Reinsurance Ltd

(Last) (First) (Middle)
159 BANK STREET
4TH FLOOR

(Street)
BURLINGTON VT 05401

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/27/2022
3. Issuer Name and Ticker or Trading Symbol
Maiden Holdings, Ltd. [ MHLD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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 Shares 41,439,348(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: 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
1. Name and Address of Reporting Person*
Maiden Reinsurance Ltd

(Last) (First) (Middle)
159 BANK STREET
4TH FLOOR

(Street)
BURLINGTON VT 05401

(City) (State) (Zip)
1. Name and Address of Reporting Person*
MAIDEN HOLDINGS NORTH AMERICA, LTD.

(Last) (First) (Middle)
228 PARK AVE. S
SUITE 25931

(Street)
NEW YORK NY 10003-1502

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Maiden Holdings, Ltd.

(Last) (First) (Middle)
94 PITTS BAY ROAD

(Street)
PEMBROKE D0 HM 08

(City) (State) (Zip)
Explanation of Responses:
1. 1.These securities are held directly by Maiden Reinsurance Ltd. ("MRL"), which is a wholly-owned subsidiary of Maiden Holdings North America, Ltd. ("MHNA"), which is a wholly-owned subsidiary of Maiden Holdings, Ltd. (the "Issuer" and, together with MRL and MHNA, the "Reporting Persons"). Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein for purposes of Rule 16a-1(a) under the Securities Exchange Act of 1934, as amended ("the Act"), except to the extent of its pecuniary interest therein, and the filing of this report shall not be deemed an admission that any of the Reporting Persons is the beneficial owner of the securities for purposes of Section 16 of the Act or for any other purpose.
Remarks:
Maiden Reinsurance Ltd., By: Maiden Holdings North America, Ltd., By: Maiden Holdings, Ltd., /s/ Lawrence F. Metz, President and Co-Chief Executive Officer Maiden Holdings North America Ltd., By: Maiden Holdings, Ltd., /s/ Lawrence F. Metz, President and Co-Chief Executive Officer Maiden Holdings, Ltd., /s/ Lawrence F. Metz, President and Co-Chief Executive Officer
Lawrence Metz 01/06/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
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