-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, A8b6o2vNsVlCjt4vfcoXRtU5jsID1wBsrMj0o+bNfa8mL+LOMMF6lF8ZoE8wAzyO Vv9HTPVmsKeqjP0p2qUJXA== 0001181431-09-027155.txt : 20090527 0001181431-09-027155.hdr.sgml : 20090527 20090527105805 ACCESSION NUMBER: 0001181431-09-027155 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090522 FILED AS OF DATE: 20090527 DATE AS OF CHANGE: 20090527 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Callahan Kevin R CENTRAL INDEX KEY: 0001316464 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50795 FILM NUMBER: 09853578 MAIL ADDRESS: STREET 1: 3959 N LINCOLN AVE CITY: CHICAGO STATE: IL ZIP: 60613 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AFFIRMATIVE INSURANCE HOLDINGS INC CENTRAL INDEX KEY: 0001282543 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 752770432 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4450 SOJOURN DRIVE STREET 2: SUITE 500 CITY: ADDISON STATE: TX ZIP: 75001 BUSINESS PHONE: 972-728-6300 MAIL ADDRESS: STREET 1: 4450 SOJOURN DRIVE STREET 2: SUITE 500 CITY: ADDISON STATE: TX ZIP: 75001 4 1 rrd243978.xml FORM 4 X0303 4 2009-05-22 0 0001282543 AFFIRMATIVE INSURANCE HOLDINGS INC AFFM 0001316464 Callahan Kevin R 4450 SOJOURN DRIVE SUITE 500 ADDISON TX 75001 1 1 0 0 Chief Executive Officer Common Stock, $0.01 par value 2009-05-22 4 P 0 10000 3.582 A 130000 D /s/ Kevin R. Callahan 2009-05-27 -----END PRIVACY-ENHANCED MESSAGE-----