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 | |
INSURANCE PARTNERS LP 201 MAIN STREET FORT WORTH, TX 76102 |
 |  |  | See Remarks |
INSURANCE GENPAR MGP LP 201 MAIN STREET FORT WORTH, TX 76102 |
 |  |  | See Remarks |
INSURANCE GENPAR MGP INC 201 MAIN STREET FORT WORTH, TX 76102 |
 |  |  | See Remarks |
INSURANCE GENPAR LP 201 MAIN STREET FORT WORTH, TX 76102 |
 |  |  | See Remarks |
/s/ Bradley Cooper (3) | 11/09/2006 | |
**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) | Insurance GenPar, L.P. is the general partner of Insurance Partners, L.P. Insurance GenPar MGP, L.P. is the general partner of Insurance GenPar, L.P. Insurance GenPar MGP, Inc. is the general partner of Insurance GenPar MGP, L.P. Pursuant to Rule 16a-1(a)(2)(ii)(B) under the Act, Insurance GenPar, L.P., Insurance GenPar MGP, L.P. and Insurance GenPar MGP, Inc. may be deemed to be the beneficial owner of the securities reported herein to the extent of their pecuniary interest therein. |
(2) | Includes 11,463.6 shares owned by IP/MCLP, L.L.C. Insurance Partners, L.P. is a managing member of IP/MCLP, L.L.C. |
 Remarks: Under the Stockholders Agreement, dated as of September 30, 2004, among Insurance Partners, L.P., Insurance Partners  Offshore (Bermuda), L.P., IP/MCLP, L.L.C., the company and other stockholders named therein, as amended, Insurance Partners,  L.P. has agreed to vote its shares of common stock in accordance with the terms of such agreement. As a result, the  reporting persons may be deemed to be members of a group pursuant to Rule 13d-5 promulgated under the Securities Exchange  Act of 1934 (the "Act"). This filing shall not be deemed an admission that any reporting person is, for purposes of Section  13(d) or Section 16 of the Act or otherwise, a member of a group or the beneficial owner of any securities in excess of the  amount in which it has a pecuniary interest. (3) Insurance Partners, L.P. By: Insurance GenPar, L.P., its general partner By: Insurance GenPar MGP, L.P., its general partner By: Insurance GenPar MGP, Inc., its general partner By: Bradley Cooper, Senior Vice President EXHIBIT LIST Exhibit 99 - Joint Filer Information |