3: Initial statement of beneficial ownership of securities
Published on December 9, 2016
| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIESFiled 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 12/09/2016 |
3. Issuer Name and Ticker or Trading Symbol
Athene Holding Ltd [ ATH ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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| 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) |
|---|---|---|---|
| Class A Common Shares | 577,162 | I | By Grant Kvalheim April 2014 GRAT |
| Class A Common Shares | 37,150 | I | By Grant Kvalheim 2009 Children's GST Exempt Trust - DK |
| Class A Common Shares | 37,150 | I | By Grant Kvalheim 2009 Children's GST Exempt Trust - LK |
| Class A Common Shares | 37,150 | I | By Grant Kvalheim 2009 Children's GST Exempt Trust - MK |
| Class A Common Shares | 1,462,699(1) | D |
| 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) | ||
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| Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
| Class M-3 Common Shares | (2)(3) | (2)(3) | Class A Common Shares | 44,000 | 13.46(2) | D | |
| Class M-4 Prime Common Shares | (2)(4) | (2)(4) | Class A Common Shares | 440,000 | 34.23(2) | D | |
| Restricted Stock Units | (5) | (5) | Class A Common Shares | 6,260 | (5) | D | |
| Employee Stock Option (right to buy) | (6) | 06/06/2026 | Class A Common Shares | 36,450 | 33.95 | D | |
| Explanation of Responses: |
| 1. Of these Class A common shares, 61,869 were originally issued pursuant to restricted share awards which vest one third on each of the first three anniversaries of the vesting start date and immediately upon a sale or change in control of the Issuer. 46,999 of such Class A common shares remain unvested as of the date of this report. |
| 2. These Class M-3 and Class M-4 Prime (collectively, "Class M") common shares are exchangeable into Class A common shares, on a one-to-one basis, once vested and upon payment of the conversion price (which can be paid in cash or shares). |
| 3. These Class M-3 common shares vest on October 30, 2017. Once vested, the reporting person has 30 days during which he can elect to convert these Class M-3 common shares into Class A common shares. These Class M-3 common shares automatically convert into Class A common shares 30 days after vesting. |
| 4. One-third of these Class M-4 Prime common shares vest based on time, with such shares vesting ratably on each of the first five anniversaries of the January 1, 2016 vesting start date; one-third vest upon the trading price of the Class A common shares attaining a per-share volume weighted average closing trading price of $50 or more during any 120-day period (or upon a sale or change in control in which Class A common shares are valued at $50 or more); and one-third vest upon the trading price of the Class A common shares attaining a per-share volume weighted average closing trading price of $70 or more during any 120-day period (or upon a sale or change in control in which Class A common shares are valued at $70 or more). Once vested, these Class M-4 Prime common shares have no expiration date and can be converted at the holder's election into Class A common shares at any time. Any remaining unvested Class M-4 Prime common shares expire January 1, 2026. |
| 5. Each restricted stock unit ("RSU") represents a contingent right to receive one Class A common share of the Issuer. The RSUs reported herein vest on each of the first three anniversaries of the January 1, 2016 vesting start date. An additional 12,519 RSUs not reported herein vest only if the Issuer satisfies certain performance criteria over the three fiscal year period from January 1, 2016 to December 31, 2018. |
| 6. This option vests ratably on each of the first three anniversaries of the January 1, 2016 vesting start date. |
| Remarks: |
| Chief Executive Officer - Athene USA Corporation Exhibit 24.1 - Power of Attorney |
| /s/ Ira Rosenblatt, attorney-in-fact | 12/09/2016 | |
| ** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.