SECURITIES AND EXCHANGE COMMISSION
WASHINGTON D.C. 20549
--------------------------------------------
FORM 8-K
CURRENT REPORT
OF THE SECURITIES EXCHANGE ACT OF 1934
--------------------------------------------
AMERICAN SAFETY INSURANCE GROUP, LTD.
(Exact name of Registrant as specified in its charter)
Date of Report: June 20, 2003
AMERICAN SAFETY INSURANCE GROUP, LTD.
formerly known as American Safety Insurance Group, Ltd.
(Exact name of Registrant as specified in its charter)
Bermuda 1-14795 Not applicable (State of incorporation (Commission File (I.R.S. Employer or organization) Number) Identification No.) 44 Church Street (441) 296-8560 P.O. Box HM 2064 (Registrant's telephone Hamilton, HM HX Bermuda number) (Address of principal executive offices)
Item 5. Other Events.
At the Company’s Annual General Meeting of Shareholders held June 20, 2003, the shareholders of the Company approved the recommendation of the Board of Directors to change the Company’s corporate name to “American Safety Insurance Holdings, Ltd.” to reflect the Company’s current status as a holding company for its insurance operations. The Bermuda Registrar of Companies approved the Company’s corporate name change on June 20, 2003.
Pursuant to the requirements of the Securities Exchange Act of 1934, Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized, on June 30, 2003.
American Safety Insurance Group, Ltd. By: /s/ Stephen R. Crim Stephen R. Crim, President
-2-
FORM NO. 3a Registration No. 11819
CERTIFICATE OF INCORPORATION
ON CHANGE OF NAME
I HEREBY CERTIFYthat in accordance with section 10 ofthe Companies Act
1981AMERICAN SAFETY INSURANCE GROUP, LTD. by resolution and with
the approval of the Registrar of Companies has changed its name and was registered
asAmerican Safety Insurance Holdings, Ltd. on the20th day ofJune, 2003.
Given under my hand and the Seal of
Seal the REGISTRAR OF COMPANIES this 24th
day of June, 2003
/s/ for Acting Registrar of Companies