SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
WATSA V PREM ET AL

(Last) (First) (Middle)
95 WELLINGTON STREET WEST
SUITE 800

(Street)
TORONTO A6 M5J 2N7

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Crescent Capital BDC, Inc. [ CCAP ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2020
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 01/30/2020 J4(1) 306,408 A (1) 3,796,246 D(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
WATSA V PREM ET AL

(Last) (First) (Middle)
95 WELLINGTON STREET WEST
SUITE 800

(Street)
TORONTO A6 M5J 2N7

(City) (State) (Zip)
1. Name and Address of Reporting Person*
FAIRFAX FINANCIAL HOLDINGS LTD/ CAN

(Last) (First) (Middle)
95 WELLINGTON STREET WEST
SUITE 800

(Street)
TORONTO A6 M5J 2N7

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SECOND 1109 HOLDCO LTD.

(Last) (First) (Middle)
95 WELLINGTON STREET WEST
SUITE 800

(Street)
TORONTO A6 M5J 2N7

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SIXTY TWO INVESTMENT CO LTD

(Last) (First) (Middle)
1600 CATHEDRAL PLACE
925 WEST GEORGIA ST

(Street)
VANCOUVER BC CANADA A1 V6C3L3

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Allied World Assurance Co Holdings, GmbH

(Last) (First) (Middle)
27 RICHMOND ROAD

(Street)
PEMBROKE D0 HM 08

(City) (State) (Zip)
Explanation of Responses:
1. On January 17, 2020, Crescent Capital BDC, Inc. (the "Issuer") delivered a capital call notice to investors that have committed to purchase shares of the Issuer's common stock (the "Common Stock"). Pursuant to such capital call notice, on January 30, 2020, Allied World Assurance Company, Ltd ("Allied World"), which is an indirect, wholly-owned subsidiary of Allied World Assurance Company Holdings, Ltd, made a capital contribution of $5,992,439 to the Company in exchange for 306,408 shares of Common Stock.
2. These securities are held by Allied World, which is a wholly-owned subsidiary of Fairfax Financial Holdings Limited. Mr. Watsa is the CEO and controlling person of Fairfax Financial Holdings Limited through the other 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 "Exchange Act"), except to the extent of its or his pecuniary interest therein, if any. This report shall not be deemed an admission that any of the Reporting Persons is a beneficial owner for the purpose of Section 16 of the Exchange Act, or for any other purpose.
/s/ V. Prem Watsa 02/04/2021
/s/ Peter Clarke, Vice President and COO, on behalf of Fairfax Financial Holdings Ltd. 02/04/2021
/s/ V. Prem Watsa, President, on behalf of The Second 1109 Holdco Ltd. 02/04/2021
/s/ V. Prem Watsa, President, on behalf of The Sixty Two Investment Company Limited 02/04/2021
/s/ Theodore Neos, SVP, Deputy General Counsel & Corporate Secretary, on behalf of Allied World Assurance Company Holdings, Ltd 02/04/2021
** 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 4 (b)(v).
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