Affirmative Insurance Holdings Inc Watch

from 10-K 2 pages Affirmative Insurance Holdings, Inc. Po Box 43004, Providence, Ri 02940-3004 Mr a Sample Designation (If Any) Add 1 Add 2 Add 3 Add 4 Cusip Xxxxxx XX X Dtc 12345678 123456789012345 016570| 003590|127c|restricted||4|057-423 Common Stock Common Stock Par Value $ .01 This Certificate Is Transferable in Canton, Ma and Jersey City, Nj Affirmative Insurance Holdings, Inc. Certificate Number Zq 000000 Affirmative Insurance Holdings, Inc. Incorporated Under the Laws of the State of Delaware

from 8-K >50 pages Indenture or similar

from S-1/A 2 pages Additional Abbreviations May Also Be Used Though Not in the Above List

from S-1/A 13 pages Registration Rights Agreement