OMB APPROVAL
OMB Number: 3235-0116
Expires: March 31, 2003
Estimated average burden
hours per response: 8
Form 6-K
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Report of Foreign Private Issuer
Pursuant to Rule 13a-16 or 15d-16
of the Securities Exchange Act of 1934
For the month of June, 2004
CONVERIUM HOLDING AG
------------------------------------------
(Translation of registrant's name into English)
Baarerstrasse 8
CH-6300 Zug
Switzerland
-------------------------------------------------------
(Address of principal executive offices)
Indicate by check mark whether the registrant files or will file annual reports
under cover Form 20-F or Form 40-F.
Form 20-F X Form 40-F
------- -------
Indicate by check mark whether the registrant by furnishing the information
contained in this Form is also thereby furnishing the information to the
Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.
Yes No X
------- -------
If "Yes" is marked, indicate the file number assigned to the registrant in
connection with Rule 12g3-2(b): 82- Not Applicable
Monthly disclosure of equity securities newly created from conditional capital
Issuer: Converium Holding AG
Sec. ID no.: 1'299'771
ISIN: CH0012997711
In accordance with art. 3a of the Articles of Incorporation of Converium Holding
Ltd and with para. 5.02 (conditional capital) of the checklist published as
enclosure 1 of the "Reports required in order to maintain a listing" (Art. 64 -
75 KR), we inform about the creation of following share capital:
Newly created share capital
As at end of Mai 2004 No new shares
As at end of previous month No shares
Contingent capital No. of shares CHF
Reserved for Option Rights and/or Conversion Rights 4'000'000 40'000'000
Of which total exercised by end of Mai 2004 0 0
Remainder 4'000'000 40'000'000
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
CONVERIUM HOLDING AG
By: /s/ Dirk Lohmann
Name: Dirk Lohmann
Title: CEO
By: /s/ Christian Felderer
Name: Christian Felderer
Title: General Legal Counsel
Date: June 3, 2004