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4//SEC Filing

Bondi Robert 4

Accession 0001181431-11-045184

CIK 0001282543other

Filed

Aug 11, 8:00 PM ET

Accepted

Aug 12, 12:53 PM ET

Size

8.9 KB

Accession

0001181431-11-045184

Insider Transaction Report

Form 4
Period: 2011-08-10
Bondi Robert
EVP & Pres., Rtl. Agency Group
Transactions
  • Award

    Non-Qualified Stock Option (Right to Purchase)

    2011-08-10+90,00090,000 total
    Exercise: $1.76From: 2012-08-10Exp: 2021-08-10Common Stock, $0.01 par value (90,000 underlying)
  • Disposition to Issuer

    Common Stock, $0.01 par value (Restricted)

    2011-08-10$0.01/sh58,500$5850 total
Holdings
  • Common Stock, $0.01 par value

    57,273
Footnotes (4)
  • [F1]58,500 shares of restricted stock were granted to the Reporting Person on March 18, 2011. These shares were to have met both performance and time-based vesting criteria before becoming vested awards. None of the performance or time-based vesting criteria had been met for any shares granted under the award before the instant disposition by the Reporting Person to the Issuer pursuant to Rule 16b-3(e).
  • [F2]The Reporting Person executed an irrevocable proxy in favor of a third-party with respect to the March 18, 2011 restricted stock grant. All shares awarded to the Reporting Person in that grant are being disposed to the Issuer as reflected in this Report. Consequently, such irrevocable proxy is effectively terminated upon said disposition pursuant to the terms of the termination provisions set forth therein.
  • [F3]Reflects the nominal, per share purchase price paid to the Reporting Person by the Issuer for all of the shares of restricted stock that were issued to the Reporting Person on March 18, 2011. Such per share purchase price is equivalent to the par value of the Issuer's Common Stock, and is a reflection of the fact that none of the shares of the Reporting Person's restricted stock had vested as of the date of disposition to the Issuer as reflected in this Report.
  • [F4]One-third of the total number of non-qualified stock options vest and become exercisable over a three year period from the date of issue (283,333 options exercisable on each of 8/10/2012 and 8/10/2013, and the final 283,334 options exercisable on 8/10/2014).

Issuer

AFFIRMATIVE INSURANCE HOLDINGS INC

CIK 0001282543

Entity typeother

Related Parties

1
  • filerCIK 0001382174

Filing Metadata

Form type
4
Filed
Aug 11, 8:00 PM ET
Accepted
Aug 12, 12:53 PM ET
Size
8.9 KB