-----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, G89nQ1g4pzipRJLLc0Xx3UaDziprDo1dWD9GUKXnqFalfFZ5n/2AXWxyNsxX0uMT fKZI+l3RFF1lRn9U6+hlLA== 0001179110-11-002364.txt : 20110210 0001179110-11-002364.hdr.sgml : 20110210 20110210161115 ACCESSION NUMBER: 0001179110-11-002364 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110209 FILED AS OF DATE: 20110210 DATE AS OF CHANGE: 20110210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kearney Thomas CENTRAL INDEX KEY: 0001382656 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33077 FILM NUMBER: 11592649 MAIL ADDRESS: STREET 1: 29621 NORTHWESTERN HIGHWAY CITY: SOUTHFIELD STATE: MI ZIP: 48034 FORMER NAME: FORMER CONFORMED NAME: Kearney Thomas I DATE OF NAME CHANGE: 20061205 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 - X0303 4 2011-02-09 1 0000929186 FIRST MERCURY FINANCIAL CORP FMR 0001382656 Kearney Thomas 29621 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 1 0 0 0 Common Stock 2011-02-09 4 D 0 23385 D 0 D Common Stock 2011-02-09 4 D 0 100 D 0 I Held for benefit of minor child Common Stock 2011-02-09 4 D 0 100 D 0 I Held for benefit of minor child Common Stock 2011-02-09 4 D 0 100 D 0 I Held for benefit of minor child Common Stock 2011-02-09 4 D 0 5000 D 0 I Held by LLC Disposed of pursuant to the Agreement and Plan of Merger, dated as of October 28, 2010, among Fairfax, Merger Sub and First Mercury Financial Corporation, as amended on December 30, 2010 (the "Merger Agreement") under which First Mercury Financial Corporation completed its merger (the "Merger") with Fairfax Investments III USA Corp. ("Merger Sub"), a Delaware corporation and an indirect wholly-owned subsidiary of Fairfax Financial Holdings Limited, a Canadian corporation ("Fairfax"). In the Merger, each share of common stock (other than shares held by Fairfax, shares held by First Mercury Financial Corporation in treasury, or any of their respective subsidiaries, shares with respect to which appraisal rights were properly exercised under Delaware law and shares of First Mercury Financial Corporation's restricted stock), was cancelled and automatically converted into the right to receive $16.50 per share in cash, without interest. /s/ John A. Marazza, Attorney-In-Fact 2011-02-10 -----END PRIVACY-ENHANCED MESSAGE-----