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 | |
IP/MCLP, L.L.C. 717 FIFTH AVENUE 12TH FLOOR NEW YORK, NY 10022 |
 |  |  | See Remarks |
/s/ Bradley Cooper (1) | 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). |
 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, IP/MCLP, L.L.C. has  agreed to vote its shares of common stock in accordance with the terms of such agreement. As a result, the reporting person  may be deemed to be a member 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 the 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. (1)  By: Insurance Partners, L.P., its managing member By: Insurance GenPar, L.P., its general partner By: Insurance GenPar MGP, L.P., its general partner By: Insurance Gen Par MGP, Inc., its general partner By: Bradley Cooper, Senior Vice President |