# EDGAR Filing Document

**Accession Number:** 0001512303
**File Stem:** 0001412100-23-000015
**Filing Date:** 2023-1
**Character Count:** 8666
**Document Hash:** e8402ad307f6a9548df82b1a2bfbdefe
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001412100-23-000015.hdr.sgml**: 20230106

**ACCESSION NUMBER**: 0001412100-23-000015

**CONFORMED SUBMISSION TYPE**: 3

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221227

**FILED AS OF DATE**: 20230106

**DATE AS OF CHANGE**: 20230106

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Maiden Holdings, Ltd.
- **CENTRAL INDEX KEY:** 0001412100
- **STANDARD INDUSTRIAL CLASSIFICATION:** FIRE, MARINE & CASUALTY INSURANCE [6331]
- **STATE OF INCORPORATION:** D0
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 3
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-34042
- **FILM NUMBER:** 23515140

**BUSINESS ADDRESS:**
- **STREET 1:** SCHRODERS HOUSE
- **STREET 2:** 131 FRONT STREET
- **CITY:** HAMILTON
- **STATE:** D0
- **ZIP:** HM 12
- **BUSINESS PHONE:** (441) 295-5225

**MAIL ADDRESS:**
- **STREET 1:** 48 PAR-LA-VILLE ROAD
- **STREET 2:** SUITE 1141
- **CITY:** HAMILTON
- **STATE:** D0
- **ZIP:** -HM 11
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Maiden Reinsurance Ltd
- **CENTRAL INDEX KEY:** 0001960757
- **STATE OF INCORPORATION:** VT
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 3
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-34042
- **FILM NUMBER:** 23515142

**BUSINESS ADDRESS:**
- **STREET 1:** 159 BANK STREET
- **STREET 2:** 4TH FLOOR
- **CITY:** BURLINGTON
- **STATE:** VT
- **ZIP:** 05401
- **BUSINESS PHONE:** 856-359-2400

**MAIL ADDRESS:**
- **STREET 1:** 159 BANK STREET
- **STREET 2:** 4TH FLOOR
- **CITY:** BURLINGTON
- **STATE:** VT
- **ZIP:** 05401
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** MAIDEN HOLDINGS NORTH AMERICA, LTD.
- **CENTRAL INDEX KEY:** 0001512303
- **STANDARD INDUSTRIAL CLASSIFICATION:** FIRE, MARINE & CASUALTY INSURANCE [6331]
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 3
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-34042
- **FILM NUMBER:** 23515141

**BUSINESS ADDRESS:**
- **STREET 1:** 6000 MIDLANTIC DRIVE
- **STREET 2:** SUITE 200S
- **CITY:** MOUNT LAUREL
- **STATE:** NJ
- **ZIP:** 08054
- **BUSINESS PHONE:** 856 359 2400

**MAIL ADDRESS:**
- **STREET 1:** 6000 MIDLANTIC DRIVE
- **STREET 2:** SUITE 200S
- **CITY:** MOUNT LAUREL
- **STATE:** NJ
- **ZIP:** 08054
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Maiden Holdings, Ltd.
- **CENTRAL INDEX KEY:** 0001412100
- **STANDARD INDUSTRIAL CLASSIFICATION:** FIRE, MARINE & CASUALTY INSURANCE [6331]
- **IRS NUMBER:** 000000000
- **STATE OF INCORPORATION:** D0
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** SCHRODERS HOUSE
- **STREET 2:** 131 FRONT STREET
- **CITY:** HAMILTON
- **STATE:** D0
- **ZIP:** HM 12
- **BUSINESS PHONE:** (441) 295-5225

**MAIL ADDRESS:**
- **STREET 1:** 48 PAR-LA-VILLE ROAD
- **STREET 2:** SUITE 1141
- **CITY:** HAMILTON
- **STATE:** D0
- **ZIP:** -HM 11

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 3

### INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Maiden Reinsurance Ltd<br><sub>(Last) (First) (Middle)</sub><br>159 BANK STREET<br>4TH FLOOR<br><sub>(Street)</sub><br>BURLINGTON, VT 05401<br><sub>(City) (State) (Zip)</sub> | **3. Issuer Name and Ticker or Trading Symbol**<br>Maiden Holdings, Ltd. [ MHLD ] | **5. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  |
| **2. Date of Event Requiring Statement (Month/Day/Year)**<br>2022-12-27 | **4. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director   [X] 10% Owner<br>[ ] Officer (give title below)   [ ] Other (specify below)<br>_ _ | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>MAIDEN HOLDINGS NORTH AMERICA, LTD.<br><sub>(Last) (First) (Middle)</sub><br>228 PARK AVE. S<br>SUITE 25931<br><sub>(Street)</sub><br>NEW YORK, NY 10003-1502<br><sub>(City) (State) (Zip)</sub> | **3. Issuer Name and Ticker or Trading Symbol**<br>Maiden Holdings, Ltd. [ MHLD ] | **5. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  |
| **2. Date of Event Requiring Statement (Month/Day/Year)**<br>2022-12-27 | **4. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director   [X] 10% Owner<br>[ ] Officer (give title below)   [ ] Other (specify below)<br>_ _ | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Maiden Holdings, Ltd.<br><sub>(Last) (First) (Middle)</sub><br>94 PITTS BAY ROAD<br><sub>(Street)</sub><br>PEMBROKE, D0 HM 08<br><sub>(City) (State) (Zip)</sub> | **3. Issuer Name and Ticker or Trading Symbol**<br>Maiden Holdings, Ltd. [ MHLD ] | **5. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  |
| **2. Date of Event Requiring Statement (Month/Day/Year)**<br>2022-12-27 | **4. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director   [X] 10% Owner<br>[ ] Officer (give title below)   [ ] Other (specify below)<br>_ _ | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities Beneficially Owned

---

|  |  |  |  |
| --- | --- | --- | --- |
| 1. Title of Security | 2. Amount of Securities Beneficially Owned | 3. Ownership Form | 4. Nature of Indirect Beneficial Ownership |
| Common Shares | 41439348<sup>(1)</sup> | D |  |

---

## Table II - Derivative Securities Beneficially Owned

---

|  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Underlying Securities | 3. Title and Amount of Underlying Securities | 4. Conversion or Exercise Price | 5. Ownership Form | 6. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 4. Conversion or Exercise Price | 5. Ownership Form | 6. Nature of Indirect Beneficial Ownership |
|  |  |  |  |  |  |  |  |

---

### Footnotes:

(1) 1.These securities are held directly by Maiden Reinsurance Ltd. ("MRL"), which is a wholly-owned subsidiary of Maiden Holdings North America, Ltd. ("MHNA"), which is a wholly-owned subsidiary of Maiden Holdings, Ltd. (the "Issuer" and, together with MRL and MHNA, the "Reporting Persons").  Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein for purposes of Rule 16a-1(a) under the Securities Exchange Act of 1934, as amended ("the Act"), except to the extent of its pecuniary interest therein, and the filing of this report shall not be deemed an admission that any of the Reporting Persons is the beneficial owner of the securities for purposes of Section 16 of the Act or for any other purpose.

**Remarks:**
Maiden Reinsurance Ltd., By: Maiden Holdings North America, Ltd., By: Maiden Holdings, Ltd., /s/ Lawrence F. Metz, President and Co-Chief Executive Officer
Maiden Holdings North America Ltd., By: Maiden Holdings, Ltd., /s/ Lawrence F. Metz, President and Co-Chief Executive Officer
Maiden Holdings, Ltd., /s/ Lawrence F. Metz, President and Co-Chief Executive Officer

**Signature:** Lawrence Metz  
**Date:** 2023-01-06

### Remarks:

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 4 (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.**