-----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, UjVEHP3NuCV3LrWBfFxbjZqj7e2fXp1DvUONfBXrY5+AxTQQ4SY+RBrBXBG8IaLA SpEGbSOjDCcUDrCdwofijA== 0001209191-09-026999.txt : 20090515 0001209191-09-026999.hdr.sgml : 20090515 20090515173813 ACCESSION NUMBER: 0001209191-09-026999 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090513 FILED AS OF DATE: 20090515 DATE AS OF CHANGE: 20090515 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: 09834811 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 doc4.xml FORM 4 SUBMISSION X0303 4 2009-05-13 0 0000929186 FIRST MERCURY FINANCIAL CORP FMR 0001382656 Kearney Thomas 29621 NORTHWESTERN HWY SOUTHFIELD MI 48034 1 0 0 0 Common Stock 2009-05-13 2009-05-13 4 A 0 2463 A 21085 D Common Stock 100 I Held for benefit of minor child Common Stock 100 I Held for benefit of minor child Common Stock 100 I Held for benefit of minor child Common Stock 5000 I Held by LLC 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 6,085 shares of restricted stock issued under the Company's Omnibus Plan (including 2,463 shares acquired under the Reported Transaction). Mr. Kearney owns 100.0% of the membership interests in an LLC, which owns a total of 5,000 shares of First Mercury Financial Corporation's common stock. /s/ John A. Marazza, as Attorney-in-Fact 2009-05-15 -----END PRIVACY-ENHANCED MESSAGE-----