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*
Enstar Group LTD

(Last) (First) (Middle)
P.O. BOX HM 2267, WINDSOR PLACE, 3RD FL.
22 QUEEN STREET

(Street)
HAMILTON D0 HM JX

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/27/2019
3. Issuer Name and Ticker or Trading Symbol
POSITIVE PHYSICIANS HOLDINGS, INC. [ PPHI ]
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 Stock $976,180 I See footnote(1)
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*
Enstar Group LTD

(Last) (First) (Middle)
P.O. BOX HM 2267, WINDSOR PLACE, 3RD FL.
22 QUEEN STREET

(Street)
HAMILTON D0 HM JX

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

(Last) (First) (Middle)
P.O. BOX 2267, WINDSOR PLACE, 3RD FLOOR
22 QUEEN STREET

(Street)
HAMILTON D0 HM JX

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Enstar (US Asia-Pac) Holdings Ltd

(Last) (First) (Middle)
3 GUILDFORD BUSINESS PARK

(Street)
GUILDFORD X0 GU2 8XG

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Enstar USA, Inc.

(Last) (First) (Middle)
150 2ND AVENUE NORTH
3RD FLOOR

(Street)
ST. PETERSBURG FL 33701

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Enstar Holdings (US) LLC

(Last) (First) (Middle)
150 2ND AVENUE NORTH
3RD FLOOR

(Street)
ST. PETERSBURG FL 33701

(City) (State) (Zip)
Explanation of Responses:
1. These shares are owned directly by Enstar Holdings (US) LLC, which is a wholly-owned subsidiary of Enstar USA, Inc., a Georgia corporation, which is a wholly-owned subsidiary of Enstar (US Asia-Pac) Holdings Limited, a corporation organized in the UK, which is a wholly-owned subsidiary of Kenmare Holdings Ltd., a Bermuda company, which is a wholly-owned subsidiary of Enstar Group Limited, a Bermuda company ("Enstar").
Remarks:
Enstar Group Limited, By: /s/ Guy Bowker, Title: CFO 02/14/2020
Kenmare Holdings Ltd., By: /s/ Guy Bowker, Title: Director 02/14/2020
Enstar (US Asia-Pac) Holdings Limited, By: /s/ Siobhan Hextall, Title: Director 02/14/2020
Enstar USA, inc., By: /s/ Paul Brockman, Title: President & CEO 02/14/2020
Enstar Holdings (US) LLC, By: /s/ Paul Brockman, Title: President & CEO 02/14/2020
** 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).
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