-----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, DL5sSA1eEmaBqgt5+3+HZB4IXyZqqqUrAdqQwmYIPlosQTGceneaq1vZeGzr/Gyv GZtRvdmeTrQBzlfhdAabHQ== 0001209191-07-029424.txt : 20070510 0001209191-07-029424.hdr.sgml : 20070510 20070510165449 ACCESSION NUMBER: 0001209191-07-029424 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070509 FILED AS OF DATE: 20070510 DATE AS OF CHANGE: 20070510 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33077 FILM NUMBER: 07838695 BUSINESS ADDRESS: BUSINESS PHONE: 800-762-6837 MAIL ADDRESS: STREET 1: 29621 NORTHWESTERN HIGHWAY CITY: SOUTHFIELD STATE: MI ZIP: 48034 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2007-05-09 0 0000929186 FIRST MERCURY FINANCIAL CORP FMR 0001378133 Shaw Jerome M 29621 NORTHWESTERN HWY SOUTHFIELD MI 48034 1 0 1 0 Common Stock 2007-05-09 4 A 0 1192 A 1890 D Common Stock 2610954 I By trust Common Stock 555879 I See footnote Transaction represents the grant of restricted stock to the reporting person under the Company's Omnibus Plan. The shares vest immediately, but will not be transferable for one year after the date of grant. Includes 1,890 shares of restricted stock under the Company's Omnibus Plan. Mr. Shaw owns 53.2% 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. Shaw disclaims any beneficial ownership in these shares, except to the extent of his pecuniary interest therein. /s/ John A. Marazza, as Attorney-In-Fact 2007-05-10 -----END PRIVACY-ENHANCED MESSAGE-----