-----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, MGjQRijcSy47MmzLYg8eQIgZ90mADmHSjqUHNvYcrb8WVWVEhmca24vrpvAz+0z4 uofWPGgv6AwpZiwnZ5VcMg== 0000783603-99-000001.txt : 19990129 0000783603-99-000001.hdr.sgml : 19990129 ACCESSION NUMBER: 0000783603-99-000001 CONFORMED SUBMISSION TYPE: 8-A12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990128 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN SAFETY INSURANCE GROUP LTD CENTRAL INDEX KEY: 0000783603 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] FILING VALUES: FORM TYPE: 8-A12B SEC ACT: SEC FILE NUMBER: 001-14795 FILM NUMBER: 99515608 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-A12B 1 AMERICAN SAFETY INSURANCE GROUP, LTD. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 - ------------------ FORM 8-A FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934 - ----------------- AMERICAN SAFETY INSURANCE GROUP, LTD. (Exact name of Registrant as specified in its charter) Bermuda Not applicable (State of incorporation (I.R.S. Employer or organization) Identification No.) 44 Church Street P.O. Box HM 2064 Hamilton, Bermuda (Address of principal executive HM HX offices) (Zip Code) Securities to be registered pursuant to Section 12(b) of the Act: Title of each class Name of each exchange on which To be so registered each class is to be registered Common Stock, $0.01 par value New York Stock Exchange Securities to be registered pursuant to Section 12(g) of the Act: None Item 1. Description of Registrant's Securities to be Registered The capital stock of American Safety Insurance Group, Ltd. (the "Company" or "Registrant") to be registered on the New York Stock Exchange, Inc. (the "Exchange"), is the Registrant's Common Stock with a par value of $0.01 per share. For a description of the Registrant's Common Shares being registered hereby, reference is made to the information set forth under the heading "Description of Capital Stock" in the Prospectus that forms part of Amendment No. 2 to the Registration Statement on Form S-1 (File No. 333-42749) filed by the Registrant with the Securities and Exchange Commission on February 11, 1998 (the "Registration Statement"). Such information is incorporated herein by reference. Item 2. Exhibits Exhibit Number Description 3.1 Memorandum of Association* 3.2 Bye-Laws* 4.1 Common Share Certificate* *Incorporated by reference to the exhibit of the same number contained in Amendment No. 2 to the Registration Statement on Form S-1 (File No. 333-42749) filed with the Securities and Exchange Commission on February 11, 1998. - 2 - SIGNATURE Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the Registrant has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized on January 25, 1999. American Safety Insurance Group, Ltd. /s/ Lloyd A. Fox By:___________________________ Lloyd A. Fox, President - 3 - -----END PRIVACY-ENHANCED MESSAGE-----