Statement of Changes in Beneficial Ownership (4)
December 03 2021 - 06:56PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
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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 * Pusey Leigh Ann |
2. Issuer Name and Ticker or Trading
Symbol BERKLEY W R CORP [ WRB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
_____ Officer (give title
below) _____ Other
(specify below)
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(Last)
(First)
(Middle)
W. R. BERKLEY CORPORATION, 475 STEAMBOAT ROAD |
3. Date of Earliest Transaction (MM/DD/YYYY)
12/1/2021
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(Street)
GREENWICH, CT 06830
(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 |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
12/1/2021 |
|
M |
|
2547 |
A |
(1) |
15761 |
D |
|
Common Stock |
12/1/2021 |
|
D |
|
2547 |
D |
$77.73 |
13214 |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Phantom Stock |
(1) |
12/1/2021 |
|
M |
|
|
2547 |
12/1/2021 |
12/1/2021 |
Common Stock |
2547 |
(1) |
0 |
D |
|
Explanation of
Responses: |
(1) |
Each share of phantom stock
was deemed invested in one share of W. R. Berkley Corporation (the
"Company") common stock pursuant to the terms of the Company's
Deferred Compensation Plan for Directors (the "Plan"). In
connection with the amendment and restatement of the Plan and the
transfer of its administration, the reporting person's shares of
phantom stock were settled for cash as of December 1,
2021. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Pusey Leigh Ann
W. R. BERKLEY CORPORATION
475 STEAMBOAT ROAD
GREENWICH, CT 06830 |
X |
|
|
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Signatures
|
Leigh Ann Pusey |
|
12/3/2021 |
**Signature of Reporting
Person |
Date |
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