Philadelphia Consolidated Holding Corp - Annual Statement of Changes in Beneficial Ownership (5)
February 14 2008 - 7:08AM
Edgar (US Regulatory)
FORM 5
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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Form 3 Holdings Reported
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X
]
Form 4 Transactions Reported
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0362
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January 31, 2008
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
MAGUIRE FRANCES M
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2. Issuer Name
and
Ticker or Trading Symbol
PHILADELPHIA CONSOLIDATED HOLDING CORP [PHLY]
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5. 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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(Last)
(First)
(Middle)
SUITE 100, ONE BALA PLAZA
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3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
12/31/2007
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(Street)
BALA CYNWYD, PA 19004
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
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7. Nature of Indirect Beneficial Ownership
(Instr. 4)
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Amount
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(A) or (D)
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Price
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Common Stock (no par value)
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2/21/2007
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G
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313667
(1)
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D
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$0.00
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7243035
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I
(2)
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See Footnote
(2)
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Common Stock (no par value)
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5/9/2007
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J4
(3)
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188948
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D
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$0.00
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7054087
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I
(2)
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See Footnote
(2)
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Common Stock (no par value)
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5/31/2007
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J4
(4)
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332448
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D
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$0.00
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6721639
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I
(2)
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See Footnote
(2)
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Common Stock (no par value)
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12/14/2007
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G
(5)
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50000
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A
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$0.00
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6771639
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I
(2)
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See Footnote
(2)
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Common Stock (no par value)
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5839500
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D
(6)
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
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11. Nature of Indirect Beneficial Ownership
(Instr. 4)
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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313,667 shares were distributed to Mr. James J. Maguire, the Chairman of the issuer, from a trust in which Ms. Frances M. Maguire, Mr. James J. Maguire's wife, is the trustee and Mr. James J. Maguire is the beneficiary.
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(
2)
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Of the 6,771,639 shares for which indirect ownership is reported after giving effect to the transactions reported to herein: 989,836 shares are held by a trust of which Frances M. Maguire is the trustee, and her husband, James J. Maguire, the Chairman of the issuer is the beneficiary; 603,396 shares are held in family trusts of which Ms. Maguire is co-trustee; 824,798 shares are owned by the Maguire Foundation, of which Ms. Maguire is co-director with her husband; and 4,353,609 shares are owned by her husband, James J. Maguire. Ms. Maguire disclaims beneficial ownership of these 6,771,639 shares, and the filing of this report is not an admission that she is beneficial owner of these shares for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
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(
3)
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On May 9, 2007, Frances M. Maguire resigned as a co-Trustee of the trust for her daughter, Ms. Colleen Forman, which was established under the James J. Maguire 1995 Annuity Trust dated as of February 9, 1995. As a result of such resignation, a disposition of any indirect pecuniary interest attributed to Frances M. Maguire in the shares owned by the trust will be deemed to have occurred, and therefore any such indirect pecuniary interest in the shareholdings of the trust is no longer attributable to Frances M. Maguire.
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(
4)
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On May 31, 2007, Frances M. Maguire resigned as a co-Trustee of the trust for her son, Mr. James J. Maguire, Jr., which was established under the James J. Maguire 1995 Annuity Trust dated as of February 9, 1995. As a result of such resignation, a disposition of any indirect pecuniary interest attributed to Frances M. Maguire in the shares owned by the trust will be deemed to have occurred, and therefore any such indirect pecuniary interest in the shareholdings of the trust is no longer attributable to Frances M. Maguire.
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(
5)
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This reflects a gift made by Mrs. Maguire's husband, James J. Maguire, to a foundation of which she and Mr. Maguire are directors.
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(
6)
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Of these shares, 5,251,500 are owned jointly by Ms. Maguire and her husband, James J. Maguire.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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MAGUIRE FRANCES M
SUITE 100
ONE BALA PLAZA
BALA CYNWYD, PA 19004
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X
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Signatures
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Craig P. Keller, Attorney-In-Fact
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2/14/2008
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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