| 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 | | OMB APPROVAL | | OMB Number: | 3235-0104 | | Expires: | February 28, 2011 | | Estimated average burden | | hours per response | 0.5 |
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1. Name and Address of Reporting Person*
| C/O AXIS CAPITAL HOLDINGS LIMITED, 92 PITTS BAY ROAD | |
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year)
07/13/2009 | 3. Issuer Name and Ticker or Trading Symbol
AXIS CAPITAL HOLDINGS LTD
[AXS]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)| X | Director | | 10% Owner | | Officer (give title below) | | Other (specify below) | |
| 5. If Amendment, Date of Original Filed (Month/Day/Year)
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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 |
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| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
| 2.
Amount of Securities Owned (Instr.
4)
| 3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
| 4. Nature of Indirect Beneficial Ownership (Instr.
5)
|
|---|
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 Excercise 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 |
|---|
| Explanation of Responses: |
| No securities are beneficially owned |
Remarks:
|
| Richard T. Gieryn, Jr., Attorney-in-Fact | 07/13/2009 |
| ** 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. |
EX-24.TXT
rrd222500_251188.html
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby makes, constitutes and
appoints Michael Butt, David Greenfield, Conrad Brooks and Richard T. Gieryn, Jr. and
each of them, as the undersigned's true and lawful attorneys-in-fact, with full power and
authority as hereinafter described on behalf of and in the name, place and stead of the
undersigned to:
(1)prepare, execute, acknowledge, deliver and file a Form ID Application, Forms 3,
4 and 5 (including any amendments thereto) and any other required applications, forms or
documents required with respect to the securities of AXIS Capital Holdings Limited, a
Bermuda company (the "Company"), with the United States Securities and Exchange
Commission (the "SEC"), any national securities exchanges and the Company, as
considered necessary or advisable under Section 16(a) of the Securities Exchange Act of
1934 and the rules and regulations promulgated thereunder, as amended from time to
time (the "Exchange Act");
(2)seek or obtain, as the undersigned's representative and on the undersigned's
behalf, information on transactions in the Company's securities from any third party,
including brokers, employee benefit plan administrators and trustees, and the undersigned
hereby authorizes any such person to release any such information to the undersigned and
approves and ratifies any such release of information; and
(3)perform any and all other acts which in the discretion of such attorneys-in-fact are
necessary or desirable for and on behalf of the undersigned in connection with the
foregoing (including the preparation, execution and filing with the SEC of an application
on Form ID for access codes to file on Edgar).
The undersigned acknowledges that:
(1)this Power of Attorney authorizes, but does not require, such attorneys-in-fact to
act in their discretion on information provided to such attorneys-in-fact without
independent verification of such information;
(2)any documents prepared and/or executed by any such attorney-in-fact on behalf of
the undersigned pursuant to this Power of Attorney will be in such form and will contain
such information and disclosure as such attorney-in-fact, in his or her discretion, deems
necessary or desirable;
(3)neither the Company nor such attorney-in-fact assumes (i) any liability for the
undersigned's responsibility to comply with the requirements of the Exchange Act, (ii)
any liability of the undersigned for any failure to comply with such requirements or (iii)
any obligation or liability of the undersigned for profit disgorgement under Section 16(b)
of the Exchange Act; and
(4)this Power of Attorney does not relieve the undersigned from responsibility for
compliance with the undersigned's obligations under the Exchange Act, including
without limitation the reporting requirements under Section 16 of the Exchange Act.
The undersigned hereby gives and grants the foregoing attorneys-in-fact full
power and authority to do and perform all and every act and thing whatsoever requisite,
necessary or appropriate to be done in and about the foregoing matters as fully to all
intents and purposes as the undersigned might or could do if present, hereby ratifying all
that such attorneys-in-fact of, for and on behalf of the undersigned, shall lawfully do or
cause to be done by virtue of this Power of Attorney.
This Power of Attorney shall remain in full force and effect until revoked by the
undersigned in a signed writing delivered to such attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 19th day of September, 2008.
Signature:
Print Name:/s/ Thomas C. Ramey