-----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, KD9ib45V7qeZd7cFi2SpNEFKQZJwwkG2zaIoeTTDPMSK7eN2O+6hff6Dcpwa8n+c NrtN+dsj934wecDY93p4ZA== 0001179110-06-020293.txt : 20061025 0001179110-06-020293.hdr.sgml : 20061025 20061025151840 ACCESSION NUMBER: 0001179110-06-020293 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061017 FILED AS OF DATE: 20061025 DATE AS OF CHANGE: 20061025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Richard H CENTRAL INDEX KEY: 0001378132 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-33077 FILM NUMBER: 061162755 BUSINESS ADDRESS: BUSINESS PHONE: 800-762-6837 MAIL ADDRESS: STREET 1: 29621 NORTHWESTERN HIGHWAY CITY: SOUTHFIELD STATE: MI ZIP: 48034 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 4/A 1 edgar.xml FORM 4/A - X0202 4/A 2006-10-17 2006-10-19 0 0000929186 FIRST MERCURY FINANCIAL CORP FMR 0001378132 Smith Richard H 29621 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 1 1 0 0 President and CEO Common Stock 2006-10-17 4 P 0 29600 17.00 A 446207 D Common Stock 2006-10-17 4 P 0 1500 17.00 A 1500 I By spouse Common Stock 389742 I See footnote Mr. Smith owns 37.3% of the membership interests in 4SFW, L.L.C., which owns a total of 1,044,887 shares of First Mercury Financial Corporation's common stock. Mr. Smith disclaims any beneficial ownership in these shares, except to the extent of his pecuniary interest therein. This Amendment being filed solely for the purpose of correcting a clerical mistake. /s/ Eric Orsic, as Attorney-In-Fact 2006-10-25 -----END PRIVACY-ENHANCED MESSAGE-----