-----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, GQjr9ySacH55DNld28+d3+L51zE+LszDUrdWaCmMZd5xtpfen4uFxpE9ocrEMQjX is6k8dC9Dw9dwdiA/KOnGQ== 0001179110-07-013753.txt : 20070622 0001179110-07-013753.hdr.sgml : 20070622 20070622190657 ACCESSION NUMBER: 0001179110-07-013753 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070620 FILED AS OF DATE: 20070622 DATE AS OF CHANGE: 20070622 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shaw Jerome M CENTRAL INDEX KEY: 0001378133 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33077 FILM NUMBER: 07937479 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 1 edgar.xml FORM 4 - X0202 4 2007-06-20 0 0000929186 FIRST MERCURY FINANCIAL CORP FMR 0001378133 Shaw Jerome M 29621 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 1 0 1 0 Common Stock 2007-06-20 4 S 0 1300000 19.25 D 1866833 I By Trust Common Stock 678858 D Consists of shares held by the Jerome M. Shaw Revocable Trust, which is controlled by Mr. Shaw. Includes options to purchase 187,960 shares of common stock which are exercisable currently or within 60 days hereof. /s/ Eric Orsic, as Attorney-in-Fact 2007-06-22 -----END PRIVACY-ENHANCED MESSAGE-----