SEC Info℠  
    Home      Search      My Interests      Help      Sign In      Please Sign In

Vesta Fire Insurance Corp., et al. – ‘4’ for 8/30/05 re: Affirmative Insurance Holdings Inc.

On:  Thursday, 9/1/05, at 10:36am ET   ·   For:  8/30/05   ·   As:  10% Owner   ·   Accession #:  1183733-5-239   ·   File #:  0-50795

Previous ‘4’:  ‘4’ on 6/2/05 for 6/1/05   ·   Latest ‘4’:  This Filing

Find Words in Filings emoji
 		  in    Show  and   ↓Hints

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 9/01/05  Vesta Fire Insurance Corp.        4          10% Owner   1:7K   Affirmative Ins Holdings Inc.     Balch & Bingham LLP/FA
          Vesta Insurance Group Inc.

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Statement of Changes in Beneficial Ownership of     HTML      7K 
                Securities by an Insider -- edgar.xml/2.2


        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 
 
SEC Info℠ rendering:  Statement of Changes in Beneficial Ownership of Securities by an Insider
 
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
VESTA INSURANCE GROUP INC
(Last)(First)(Middle)
3760 RIVER RUN DRIVE
(Street)
BIRMINGHAMAL35243
(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
AFFIRMATIVE INSURANCE HOLDINGS INC [ AFFM ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
DirectorX10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
8/30/05
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
XForm filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock 8/30/05 S (1) 1,045,600 (1)D$150D (1)
Common Stock 8/30/05 S (2) 4,172,628 (2)D$150D (2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
1. Name and Address of Reporting Person*
VESTA INSURANCE GROUP INC
(Last)(First)(Middle)
3760 RIVER RUN DRIVE
(Street)
BIRMINGHAMAL35243
(City)(State)(Zip)
1. Name and Address of Reporting Person*
Vesta Fire Insurance CORP
(Last)(First)(Middle)
3760 RIVER RUN DRIVE
(Street)
BIRMINGHAMAL35243
(City)(State)(Zip)
Explanation of Responses:
(1)  Shares sold by Vesta Insurance Group, Inc. As the parent company of Vesta Fire Insurance Corporation, the joint filer of this report, Vesta Insurance Group, Inc. owned, directly or indirectly, all 5,218,228 shares sold in the transactions reported in this Table I.
(2)  Shares sold by Vesta Fire Insurance Corporation, a wholly owned subsidiary of Vesta Insurance Group, Inc. Vesta Insurance Group, Inc. was an indirect beneficial owner of the reported securities.
Remarks:
/s/ John W. McCullough, Vice President and Associate General Counsel, Vesta Insurance Group, Inc. 8/31/05
/s/ John W. McCullough, Authorized Representative, Vesta Fire Insurance Corporation 8/31/05
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
____________
Transaction Code:
    S    Open market or private sale of non-derivative or derivative security.

↑Top
Filing Submission 0001183733-05-000239   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)
Copyright © 2024 Fran Finnegan & Company LLC – All Rights Reserved.
About — Privacy — Redactions — Help — Thu., May 16, 2:44:26.2am ET