8-K/A 1 d8ka.htm FORM 8-K/A Form 8-K/A

 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 

FORM 8-K/A

 

CURRENT REPORT

 

PURSUANT TO SECTION 13 OR 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

 

Date of Report (Date of earliest event reported) May 22, 2003

 


 

AMERICAN SAFETY INSURANCE GROUP, LTD.

(Exact Name of Registrant as Specified in its Charter)

 

Bermuda

 

1-14795

 

Not Applicable

(State or Other Jurisdiction

 

(Commission

 

(IRS Employer

of Incorporation)

 

File Number)

 

Identification No.)

 

44 Church Street

P.O. Box HM2064

Hamilton HM HX, Bermuda

(Address of Principal Executive Offices)

 

Registrant’s telephone number, including area code (441) 295-5688

 

 


(Former Name or Former Address, if Changed Since Last Report)

 


 


 

Item 5. Other Events and Regulation FD Disclosure.

 

(a) This amendment to Form 8-K dated May 22, 2003 is being filed solely to include Exhibit 99.1 which was inadvertently omitted as a result of a conversion error.

 

Item 7. Financial Statements, Pro Forma Financial Information and Exhibits.

 

(c) Exhibits

 

The exhibits to this report are listed in the Exhibit Index on page E-1, which is incorporated herein by reference.

 


 

SIGNATURES

 

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.

 

       

AMERICAN SAFETY INSURANCE GROUP, LTD.

(Registrant)

Dated: June 5, 2003    

     

By:

 

/s/ STEPHEN R. CRIM                                         


               

Stephen R. Crim

President and Chief Executive Officer

 


 

EXHIBIT INDEX

 

4.1

*

 

Amended and Restated Declaration of Trust of American Safety Capital Trust dated as of May 22, 2003 among American Safety Insurance Group, Ltd., as guarantor, American Safety Holdings Corp., as sponsor, Wilmington Trust Company, as Delaware trustee, Wilmington Trust Company, as institutional trustee, and Steven B. Mathis, Stephen R. Crim and Fred J. Pinckney, as administrators.

4.2

*

 

Indenture, dated as of May 22, 2003 among American Safety Holdings Corp., as issuer, American Safety Insurance Group, Ltd., as guarantor, and Wilmington Trust Company, as trustee.

4.3

*

 

Guarantee Agreement, dated as of May 22, 2003 between American Safety Insurance Group, Ltd., as guarantor, and Wilmington Trust Company, as guarantee trustee.

4.4

*

 

Capital Securities Subscription Agreement dated as of May 13, 2003 among American Safety Holdings Corp. and American Safety Capital Trust, together as offerors, and InCapS Funding I, Ltd., as purchaser.

10.1

*

 

Placement Agreement dated May 13, 2003 among American Safety Insurance Group, Ltd., American Safety Holdings Corp. and American Safety Capital Trust, together as offerors, and Sandler O’Neill & Partners, L.P., as placement agent.

99.1

 

 

Press Release of American Safety Insurance Group, Ltd. issued June 3, 2003.

 

* Previously filed on Form 8-K dated May 22, 2003 (File No. 001-14795)

 

 

E-1