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FORM 3/A
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(Print or Type Responses)
U.S. 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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Treacy Cormac
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(Last) (First) (Middle)
12/13 Exchange Place I.F.S.C.
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(Street)
Dublin Ireland 1
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
February 2000
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
ESG Re Limited (ESREF)
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[_] Director [_] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
Corporate Secretary
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6. If Amendment, Date of Original (Month/Day/Year)
February 27, 1998
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7. 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
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<TABLE>
<CAPTION>
3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 4)
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<S> <C> <C> <C>
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Common shares, par value $ 1 per share None
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</TABLE>
* If the Form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
Potential persons who are to respond to the collection of Information contained
in this form are not required to respond unless the form displays a currently
valid OMB control number.
(Over)
(Form 3-07/98)
<PAGE>
FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
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Options to Buy 11/1/98 11/1/08 Common Shares 1,500 $18.20(1) (D)
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Options to Buy 11/1/00 11/1/08 Common Shares 1,500 $18.20(1) (D)
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Options to Buy 11/1/01 11/1/08 Common Shares 1,500 $18.20(1) (D)
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Options to Buy 11/1/02 11/1/08 Common Shares 1,500 $18.20(1) (D)
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Options to Buy 2/25/99(2) 2/25/09(3) Common Shares 750 $16.81 (D)
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Options to Buy 2/25/01(2) 2/25/09(3) Common Shares 750 $16.81 (D)
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Options to Buy 2/25/02(2) 2/25/09(3) Common Shares 750 $16.81 (D)
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Options to Buy 2/25/03(2) 2/25/09(3) Common Shares 750 $16.81 (D)
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</TABLE>
Explanation of Responses:
1. The price of derivative and underlying securities was incorrectly reported
as $18.30 on the February 27, 1998 Form 3.
2. The exercise dates were incorrectly reported as 2/25/98, 2/25/00, 2/25/01,
and 2/25/02 respectively on the February 27, 1998 Form
3. The expiration dates were incorrectly reported as 2/25/08 on the February
27, 1998 Form 3.
/s/ Cormac Treacy February 25, 2000
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**Signature of Reporting Person Date
** 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 provided is insufficient, see Instruction 6 for procedure.
Potential persons who are respond to the collection of information contained in
this form are not required to respond unless the form displays a currently valid
OMB Number.
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