As Of	Filer	Filing¹	For·On·As	Docs:Size	Issuer		Filing Agent

 9/17/13  Kusumi Gary Y                     4          Dir.,Off.²  2:6K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
 9/17/13  Kusumi Gary Y                     4/A        Dir.,Off.²  2:7K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
 2/28/12  Kusumi Gary Y                     4          Dir.,Off.²  1:5K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
 9/15/11  Kusumi Gary Y                     4          Dir.,Off.²  1:5K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
 9/14/11  Kusumi Gary Y                     4          Dir.,Off.²  1:4K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
 9/12/11  Kusumi Gary Y                     4          Dir.,Off.²  1:4K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
  9/8/11  Kusumi Gary Y                     4          Dir.,Off.²  1:8K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
  9/6/11  Kusumi Gary Y                     4          Dir.,Off.²  1:5K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
  9/1/11  Kusumi Gary Y                     4          Dir.,Off.²  1:5K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
 8/12/11  Kusumi Gary Y                     4          Dir.,Off.²  1:7K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 
 3/21/11  Kusumi Gary Y                     3/A        Dir.,Off.²  1:6K   Affirmative Ins Holdings Inc.     R R Donnelley … Filer/FA 

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¹	Filing/Form Types:  -K
	3	Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 { The Filer is an Insider² of the Issuer }.
	4	Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 4 { The Filer is an Insider² of the Issuer }.
	/A	Amendment to, or Amended version of, a previous Filing of this Type.
²	Insider:  The Filer is a Director, Officer, 10% Owner and/or Other “insider” of the Issuer.