-----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, GwzCB7xU/hI/vCTYYfwB66QKxVV/X98l8SI8N2U5Q8kiEfbOEMGvWEcjPmRIJ1Ir BVJUzObgi22GLQGb2P2gcw== 0000950134-05-021939.txt : 20051118 0000950134-05-021939.hdr.sgml : 20051118 20051118172918 ACCESSION NUMBER: 0000950134-05-021939 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20051113 ITEM INFORMATION: Termination of a Material Definitive Agreement ITEM INFORMATION: Departure of Directors or Principal Officers; Election of Directors; Appointment of Principal Officers ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20051118 DATE AS OF CHANGE: 20051118 FILER: 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 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-50795 FILM NUMBER: 051216180 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 8-K 1 d30671e8vk.htm FORM 8-K e8vk
 

 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of report (Date of earliest event reported): November 13, 2005
 
AFFIRMATIVE INSURANCE HOLDINGS, INC.
(Exact Name of Registrant as Specified in Charter)
         
Delaware
(State or other jurisdiction
of incorporation
 
000-50795
(Commission File Number)
  75-2770432
(I.R.S. Employer
Identification Number)
     
4450 Sojourn Drive, Suite 500
Addison, Texas

(Address of principal
executive offices)
 

75001
(Zip code)
(972) 728-6300
(Registrant’s telephone number, including area code)
Not Applicable
(Former name or former address, if changed since last report)
     Check the appropriate box below if the Form 8-K is intended to simultaneously satisfy the filing obligation of the Registrant under any of the following provisions:
o   Written communications pursuant to Rule 425 under the Securities Act
o   Soliciting material pursuant to Rule 14a-12 under the Exchange Act
o   Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act
o   Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act
 
 

 


 

Item 1.02. Termination of Material Definitive Agreement.
In connection with Thomas E. Mangold’s resignation described in Item 5.02 of this Form 8-K, we entered into a Separation Agreement and General Release, dated as of November 13, 2005 (“Separation Agreement”), with Mr. Mangold pursuant to which the employment agreement (“Employment Agreement”) with Mr. Mangold effective as of July 14, 2004, was terminated, except for certain restrictive covenants concerning non-disclosure, non-competition, non-solicitation and other issues related to those covenants. Under the Separation Agreement, Mr. Mangold agreed to release us from any and all claims and Mr. Mangold made certain ancillary agreements concerning his compliance with obligations relating to the non-disclosure and non-competition covenants contained in the Employment Agreement. Upon Mr. Mangold’s execution of an Acknowledgment of Non-Revocation of the Separation Agreement, we have agreed to pay Mr. Mangold a cash severance payment of $2,795,000.00 in addition to other entitled payments.
Item 5.02. Departure of Directors or Principal Officers; Appointment of Principal Officers.
Effective November 13, 2005, Thomas E. Mangold resigned as our Chairman of the Board, President and Chief Executive Officer. Effective November 13, 2005, the Board appointed Kevin R. Callahan as our Chairman of the Board. Effective November 15, 2005, the Board elected Mr. Callahan as our Interim Chief Executive Officer while a search is conducted for Mr. Mangold’s permanent replacement. Mr. Callahan, 44, served from 2002 to 2004 as Chief Executive Officer of Allianz Global Risks US Insurance company. Mr. Callahan also was Chief Executive Officer of Aon Capital Markets from 1996 to 2002 and was a Principal of Aon Risk Services North America from 2000 to 2002. He has served on the board of directors of Corus Bankshares, Inc. since February 2005. Mr. Callahan has been appointed as Chairman of our Executive Committee as well as to serve on the Compensation Committee and the Nominating and Corporate Governance Committee. We anticipate entering into an employment agreement with Mr. Callahan in the near future. A copy of our press release announcing this event is attached as Exhibit 99.1 to this Current Report on Form 8-K.
Item 9.01. Financial Statements and Exhibits.
     (d) Exhibits.
     
Number   Exhibit
99.1*
  Press Release announcing resignation of Tom Mangold
 
*Filed herewith.

3


 

SIGNATURE
     Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
         
  AFFIRMATIVE INSURANCE HOLDINGS, INC.
 
 
  By:   /s/ TIMOTHY A. BIENEK    
    Timothy A. Bienek   
    Executive Vice President and Chief Financial Officer   
 
Date: November 18, 2005

 


 

     
Number   Exhibit
99.1*
  Press Release announcing resignation of Tom Mangold
 
*Filed herewith

 

EX-99.1 2 d30671exv99w1.htm PRESS RELEASE exv99w1
 

AFFIRMATIVE INSURANCE HOLDINGS, INC. LOGO
News Release
     
Contact:
  Tim Bienek
Chief Financial Officer
Affirmative Insurance Holdings, Inc.
(972) 728-6318
AFFIRMATIVE INSURANCE HOLDINGS, INC. ANNOUNCES
RESIGNATION OF CHAIRMAN/CEO, APPOINTMENT OF INTERIM REPLACEMENT
ADDISON, Texas (November 14, 2005) — Affirmative Insurance Holdings, Inc. (NASDAQ: AFFM) Board of Directors today announced that Thomas E. Mangold has resigned as chairman, chief executive officer and president, effective November 13, 2005. Affirmative’s board appointed Kevin R. Callahan as interim chairman and chief executive officer effective November 15, 2005, while a search is conducted for Mangold’s permanent replacement.
Callahan, 44, was recently appointed as a director to Affirmative’s board. From 2002 to 2004, Callahan was chief executive officer of Allianz Global Risks US Insurance Company. He was chief executive officer of Aon Capital Markets from 1996 to 2002 and had been employed by Goldman, Sachs & Co. from 1985 to 1996. Callahan has served on the board of directors of Corus Bankshares, Inc. since February 2005.
ABOUT AFFIRMATIVE INSURANCE HOLDINGS
Headquartered in Addison, Texas, Affirmative Insurance Holdings, Inc., is a producer and provider of personal non-standard automobile insurance policies to individual consumers in highly targeted geographic markets. Affirmative currently offers products and services in 12 states, including Texas, Illinois, California and Florida.
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