Filing Details

Accession Number:
0001181431-11-049444
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-09-15 16:39:49
Reporting Period:
2011-09-09
Filing Date:
2011-09-15
Accepted Time:
2011-09-15 16:39:49
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1282543 Affirmative Insurance Holdings Inc AFFM Fire, Marine & Casualty Insurance (6331) 752770432
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1441875 Y Gary Kusumi 150 Harvester Drive
Suite 300
Burr Ridge IL 60527
Chairman & Ceo Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, $0.01 Par Value Acquisiton 2011-09-09 700 $1.68 18,521 No 5 L Direct
Common Stock, $0.01 Par Value Acquisiton 2011-09-13 1,479 $1.68 20,000 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 5 L Direct
No 4 P Direct