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SHELBY INSURANCE CO 4

Accession 0000911576-04-000012

CIK 0001282543other
View on SEC.govCompany Profile

Filed

Sep 29, 8:00 PM ET

Accepted

Sep 30, 3:16 PM ET

Size

11.1 KB

Accession

0000911576-04-000012

Insider Transaction Report

Form 4
Period: 2004-09-28
AFFIRMATIVE INSURANCE HOLDINGS INCAFFM
Vesta Fire Insurance CORP
10% Owner
Transactions
  • Exercise of In-Money

    Stock options (right to buy)

    2004-09-28−80,837→ 0 total
    Exercise: $7.59From: 2002-03-29Exp: 2005-02-17→ Common Stock (80,837 underlying)
  • Exercise of In-Money

    Common Stock

    2004-09-28$7.59/sh+80,837$613,553→ 4,820,522 total
Holdings

  • Common Stock

    2,397,706
VESTA INSURANCE GROUP INC
10% Owner
Transactions
  • Exercise of In-Money

    Stock options (right to buy)

    2004-09-28−80,837→ 0 total
    Exercise: $7.59From: 2002-03-29Exp: 2005-02-17→ Common Stock (80,837 underlying)
  • Exercise of In-Money

    Common Stock

    2004-09-28$7.59/sh+80,837$613,553→ 4,820,522 total
Holdings

  • Common Stock

    2,397,706
SHELBY INSURANCE CO
10% Owner
Transactions
  • Exercise of In-Money

    Common Stock

    2004-09-28$7.59/sh+80,837$613,553→ 4,820,522 total
  • Exercise of In-Money

    Stock options (right to buy)

    2004-09-28−80,837→ 0 total
    Exercise: $7.59From: 2002-03-29Exp: 2005-02-17→ Common Stock (80,837 underlying)
Holdings

  • Common Stock

    2,397,706
Footnotes (3)
  • [F1]Represents exercise of stock options held directly by Vesta Insurance Group, Inc.
  • [F2]Shares owned directly by Vesta Insurance Group, Inc. As the ultimate parent company of each joint filer of this report, Vesta Insurance Group, Inc. owns, directly or indirectly, all 7,218,228 sahres reported in this Table I.
  • [F3]Shares owned directly by The Shelby Insurance Company, a wholly owned subsidiary of Vesta Fire Insurance Corporation, which is in turn a wholly owned subsidiary of Vesta Insurance Group, Inc. Vesta Fire Insurance Corporation and Vesta Insurance Group, Inc. are indirect beneficial owners of the reported securities.

Documents

1 file

Issuer

AFFIRMATIVE INSURANCE HOLDINGS INC

CIK 0001282543

→
Entity typeother

Related Parties

1
  • filerCIK 0000817425

Filing Metadata

Form type
4
Filed
Sep 29, 8:00 PM ET
Accepted
Sep 30, 3:16 PM ET
Size
11.1 KB
View on SEC.gov