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Filing Detail
Form S-1/A - General form for registration of securities under the Securities Act of 1933: [Amend]
SEC Accession No. 0001193125-04-102027
Filing Date
2004-06-14
Accepted
2004-06-14 06:12:08
Documents
15

Document Format Files

Seq Description Document Type Size
1 AMENDMENT NO. 3 TO FORM S-1 ds1a.htm S-1/A 2708713
2 FORM OF PURCHASE AGREEMENT dex11.htm EX-1.1 221225
3 FORM OF COMMON STOCK CERTIFICATE dex41.htm EX-4.1 18502
4 OPINION OF BALCH & BINGHAM LLP dex51.htm EX-5.1 7257
5 PRIVATE PASSENGER AUTOMOBILE QUOTA SHARE REINSURANCE CONTRACT dex109.htm EX-10.9 244029
6 PRIVATE PASSENGER AUTOMOBILE QUOTA SHARE REINSURANCE CONTRACT dex1010.htm EX-10.10 296400
7 NON STANDARD PRIVATE PASSENGER AUTOMOBILE QUOTA SHARE REINSURANCE CONTRACT dex1011.htm EX-10.11 176592
8 PRIVATE PASSENGER AUTOMOBILE QUOTA SHARE REINSURANCE CONTRACT dex1012.htm EX-10.12 307533
9 CONSENT OF PRICEWATERHOUSECOOPERS LLP dex231.htm EX-23.1 1612
11 GRAPHIC g93860ex4_1.jpg GRAPHIC 412185
12 GRAPHIC g93860g05k63.jpg GRAPHIC 382890
13 GRAPHIC g93860g58s83.jpg GRAPHIC 73690
14 GRAPHIC g93860g75j77.jpg GRAPHIC 22997
15 GRAPHIC g93860g83s98.jpg GRAPHIC 50942
16 GRAPHIC g93860image001.jpg GRAPHIC 5910
  Complete submission text file 0001193125-04-102027.txt   4933594
Mailing Address 4450 SOJOURN DRIVE SUITE 500 ADDISON TX 75001
Business Address
AFFIRMATIVE INSURANCE HOLDINGS INC (Filer) CIK: 0001282543 (see all company filings)

Type: S-1/A | Act: 33 | File No.: 333-113793 | Film No.: 04859496
SIC: 6331 Fire, Marine & Casualty Insurance