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4/A//SEC Filing

AFFIRMATIVE INSURANCE HOLDINGS INC 4/A

Accession 0001181431-13-049376

CIK 0001282543operating

Filed

Sep 16, 8:00 PM ET

Accepted

Sep 17, 3:14 PM ET

Size

8.0 KB

Accession

0001181431-13-049376

Insider Transaction Report

Form 4/AAmended
Period: 2011-08-10
Kusumi Gary Y
DirectorChairman & CEO
Transactions
  • Award

    Non-Qualified Stock Option (Right to Purchase)

    2011-08-10+250,000250,000 total
    Exercise: $1.76From: 2012-08-10Exp: 2021-08-10Common Stock, $0.01 par value (250,000 underlying)
Footnotes (2)
  • [F1]As previously reported on a Form 4 filed on August 12, 2011 by the reporting person, the reporting person reported acquiring stock options to purchase 850,000 shares of Common Stock ($0.01 par value) pursuant to the Company's 2004 Amended and Restated Stock Incentive Plan. However, the Company subsequently determined that stock options to purchase 600,000 shares of common stock were not validly granted pursuant to the Company's 2004 Amended and Restated Stock Incentive Plan because they exceeded the limit on the number of stock-based awards that may be granted to any individual participant within any calendar year. Accordingly, the attempted grant of these excess stock options was ineffective, and they were never granted to the reporting person. The reporting person is filing this amendment to report the correct amount of stock options acquired.
  • [F2]The option vests in 3 installments over a 3-year period: 83,333 on 8/10/2012; 83,333 on August 10, 2013; and 83,334 on August 10, 2014. The option further provides that if the reporting person's Continuous Service is terminated for any reason except death, disability or for cause, the option, to the extent that it is exercisable on the date of such termination, may be exercised no later than the later of: (a) September 30, 2015; or (b) three (3) months after the date of termination, provided that in no event shall the option be exercisable later than August 10, 2021.

Issuer

AFFIRMATIVE INSURANCE HOLDINGS INC

CIK 0001282543

Entity typeoperating
IncorporatedDE

Related Parties

1
  • filerCIK 0001282543

Filing Metadata

Form type
4/A
Filed
Sep 16, 8:00 PM ET
Accepted
Sep 17, 3:14 PM ET
Size
8.0 KB