-----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, EkgYNmwts3lt6jsthFZODGnEuBAgPO7XhkuZV3JIbj0aDf6YSpNFqqkh7rBgPACJ Uin7rUQ8EdYKh0IYf2D7WA== 0001179110-06-020006.txt : 20061017 0001179110-06-020006.hdr.sgml : 20061017 20061017180434 ACCESSION NUMBER: 0001179110-06-020006 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20061017 FILED AS OF DATE: 20061017 DATE AS OF CHANGE: 20061017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST MERCURY FINANCIAL CORP CENTRAL INDEX KEY: 0000929186 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 383164336 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 29621 NORTHWESTERN HWY STREET 2: PO BOX 5096 CITY: SOUTHFIELD STATE: MI ZIP: 48034 BUSINESS PHONE: 8103584010 MAIL ADDRESS: STREET 1: 29621 NORTHWESTERN HGWY STREET 2: PO BOX 5096 CITY: SOUTHFIELD STATE: MI ZIP: 48086 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shaw Jerome M CENTRAL INDEX KEY: 0001378133 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33077 FILM NUMBER: 061149489 BUSINESS ADDRESS: BUSINESS PHONE: 800-762-6837 MAIL ADDRESS: STREET 1: 29621 NORTHWESTERN HIGHWAY CITY: SOUTHFIELD STATE: MI ZIP: 48034 3 1 edgar.xml FORM 3 - X0202 3 2006-10-17 0 0000929186 FIRST MERCURY FINANCIAL CORP FMR 0001378133 Shaw Jerome M 29621 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 1 0 1 0 Common Stock 2610954 I By trust Common Stock 555879 I See footnote Stock Option (right to buy) 1.51 2009-03-01 Common Stock 52540 D Stock Option (right to buy) 1.62 2013-07-14 Common Stock 48840 D Stock Option (right to buy) 1.73 2013-07-14 Common Stock 45880 D Stock Option (right to buy) 1.95 2013-07-14 Common Stock 40700 D Mr. Shaw owns 53.2% of the membership interests in 4SFW, L.L.C., which owns 1,044,887 shares of First Mercury Financial Corporation's common stock. Mr. Shaw disclaims any beneficial ownership in these shares, except to the extent of his pecuniary interest therein. All options fully vested and exercisable as of October 17, 2006. /s/ Eric Orsic, as Attorney-In-Fact 2006-10-17 EX-24 2 shaw_poa.htm

POWER OF ATTORNEY

 

The undersigned constitutes and appoints Richard H. Smith, John A. Marazza and Eric Orsic, as the undersigned’s true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for the undersigned and in the undersigned’s name, place and stead, to sign any and all Securities and Exchange Commission statements of beneficial ownership of securities of First Mercury Financial Corporation (the “Company”) on Forms 3, 4 and 5 as required under Section 16(a) of the Securities Exchange Act of 1934, as amended, and to file the same with all exhibits thereto, and other documents in connection therewith, with the Securities and Exchange Commission, the Company and the New York Stock Exchange, granting unto said attorneys-in-fact and agents, and each of them, full power and authority to do and perform each act and thing requisite and necessary to be done under said Section 16(a), as fully and to all intents and purposes as the undersigned might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact and agents, and each of them, may lawfully do or cause to be done by virtue hereof.

A copy of this power of attorney shall be filed with the Securities and Exchange Commission. The authorization set forth above shall continue in full force and effect until the undersigned revokes such authorization by written instructions to the attorneys-in-fact.

The authority granted hereby shall in no event be deemed to impose or create any duty on behalf of the attorneys-in-fact with respect to the undersigned’s obligations to file Forms 3, 4 and 5 with the Securities and Exchange Commission.

Dated: October 12, 2006

 

/s/ Jerome M. Shaw

Jerome M. Shaw

 

 

 

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