-----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, EiXbZW8uvehfd5PIG4OdbUcjYKwfyCGm88m0UkJJtp1GlFCrPLbWMSuFOqEy5EAq dg77vzttA10PV7qlbXAYcQ== 0000783603-00-000001.txt : 20000202 0000783603-00-000001.hdr.sgml : 20000202 ACCESSION NUMBER: 0000783603-00-000001 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000113 ITEM INFORMATION: FILED AS OF DATE: 20000118 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN SAFETY INSURANCE GROUP LTD CENTRAL INDEX KEY: 0000783603 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: 8-K SEC ACT: SEC FILE NUMBER: 001-14795 FILM NUMBER: 508392 BUSINESS ADDRESS: STREET 1: 44 CHURCH STREET CITY: HAMILTON STATE: D0 BUSINESS PHONE: 4412955688 MAIL ADDRESS: STREET 1: 44 CHRUCH STREET CITY: HAMILTON STATE: D0 8-K 1 AMERICAN SAFETY INSURANCE GROUP, LTD. ............................................................................... 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: January 13, 2000 AMERICAN SAFETY INSURANCE GROUP, LTD. (Exact name of Registrant as specified in its charter) Bermuda 1-14795 Not applicable (State of incorporation (Commission File (I.R.S. Employer or organization) Number) Identification No.) 44 Church Street (441) 296-8560 P.O. Box HM 2064 (Registrant's telephone Hamilton, HM HX Bermuda number) (Address of principal executive offices) ............................................................................... Item 5. Other Events. American Safety Holdings Corp., the United States insurance holding company subsidiary of the Registrant has acquired (i) the stock of L&W Holdings, Inc. and its wholly-owned subsidiary, RCA Syndicate #1, Ltd., an Illinois licensed insurance carrier operating on the INEX (formerly the Illinois Insurance Exchange), and (ii) the stock of Principal Management, Inc., an insurance program development and management group headquartered in Okemos, Michigan. In a related transaction, the Registrant has acquired the stock of Pegasus Insurance, a Cayman Islands licensed insurance carrier. The transactions were structured as stock acquisitions, with the consideration paid by American Safety to the sellers consisting of $3,500,000 plus 200,000 American Safety common shares and earnout provisions for up to an additional 254,000 American Safety common shares over a five-year period. SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on January 18, 2000. American Safety Insurance Group, Ltd. By: /s/_________________________________ Lloyd A. Fox, President - 2 - -----END PRIVACY-ENHANCED MESSAGE-----