FORM 3 ------------------------------
OMB APPROVAL
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OMB Number 3235-0104
Expires: January 31, 2005
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 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
Golkin Perry
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(Last) (First) (Middle)
c/o Kohlberg Kravis Roberts & Co.
9 West 57th Street
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(Street)
New York New York 10019
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
12/31/02
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Willis Group Holdings Limited/WSH
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[X] Director [X] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
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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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2. Amount of Securities 3. Ownership Form:
1. Title of Security Beneficially Owned Direct (D) or 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) Indirect (Instr. 5)
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Common Stock 24,000 D
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Common Stock 59,069,037 I See Note 1
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly
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FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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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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Right to
Common Stock See Note 2 See Note 2 Common Stock 2,149 $0 I receive
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Explanation of Responses:
** 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.
/s/ William J. Janetschek 1/10/03
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**Signature of Reporting Person Date
William J. Janetschek, as
attorney-in-fact for Perry
Golkin
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SEC 1473 (7/96)
Perry Golkin 12/31/02 Willis Group Holdings Limited
c/o Kohlberg Kravis Roberts & Co. WSH
9 West 57th Street
New York, New York 10019
Note 1 to Form 3
The reported shares are directly held by Profit Sharing (Overseas), Limited
Partnership. KKR 1996 Overseas, Limited is the general partner of KKR
Associates II (1996), Limited Partnership, which is the general partner of KKR
1996 Fund (Overseas) Limited Partnership, which is the general partner of
Profit Sharing (Overseas), Limited Partnership. The Reporting Person is a
stockholder of KKR 1996 Overseas, Limited. Thus, the Reporting Person may be
deemed to be the beneficial owner of such shares. However, pursuant to Rule
16-(a)1(2) promulgated under the Securities Exchange Act of 1934, as amended,
the Reporting Person disclaims that he is the beneficial owner of such shares,
except to the extent of his pecuniary interest in such shares.
Note 2 to Form 3
The reported derivative security represents the number of shares receivable as
a result of the election to defer the directorship fees under the Company's
Non-Employee Directors' Deferred Compensation Plan. These shares are received
upon the earlier of (1) a change of control of the Company; (2) the first
business day of the calendar year following the date the director retires,
resigns or ceases to serve as a director or; (3) the termination of the Plan
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POWER OF ATTORNEY
Know all men by these presents that Perry Golkin does hereby make, constitute
and appoint William J. Janetschek and Richard J. Kreider, or either one of
them, as a true and lawful attorney-in-fact of the undersigned with full
powers of substitution and revocation, for and in the name, place and stead of
the undersigned (both in the undersigned's individual capacity and as a member
of any limited liability company or limited partnership for which the
undersigned is otherwise authorized to sign), to execute and deliver such
forms as may be required to be filed from time to time with the Securities and
Exchange Commission with respect to any investments of KKR Associates, L.P.,
KKR Associates 1996 L.P., KKR 1996 GP L.L.C., KKR Associates II (1996) Limited
Partnership, KKR 1996 Overseas, Limited, KKR Associates (Strata) L.P., Strata
L.L.C., KKR Associates (KLC) L.P., KKR-KLC, L.L.C., KKR Associates (NXS) L.P.,
KKR-NXS, L.L.C., KKR Associates Europe, Limited Partnership, KKR Europe
Limited, KKR Associates Millennium L.P. and KKR Millennium GP LLC (including
any amendments or supplements to any reports, forms or schedules previously
filed by such persons or entities): (i) pursuant to Sections 13(d) and 16(a)
of the Securities Exchange Act of 1934, as amended (the "Act"), including
without limitation, Schedule 13D, Schedule 14G, statements on Form 3, Form 4
and Form 5 and (ii) in connection with any applications for EDGAR access
codes, including without limitation the Form 1D.
/s/ Perry Golkin
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Name: Perry Golkin
Date: February 28, 2002
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