UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): January 10, 2005
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HARLEYSVILLE GROUP INC.
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(Exact name of registrant as specified in its charter)
Delaware 0-14697 51-0241172
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(State or other jurisdiction (Commission (IRS Employer
of incorporation) File Number) Identification No.)
355 Maple Avenue, Harleysville, Pennsylvania 19438
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(Address of principal executive offices) (Zip Code)
(215) 256-5000
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Registrant's telephone number, including area code
Not Applicable
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(Former name or former address, if changed since last report.)
Check the appropriate box below if the Form 8-K filing is intended to
simultaneously satisfy the filing obligation of the registrant under any of the
following provisions:
[ ] Written communications pursuant to Rule 425 under the Securities Act (17 CFR
230.425)
[ ] Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
240.14a-12)
[ ] Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange
Act (17 CFR 240.14d-2(b))
[ ] Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange
Act (17 CFR 240.13
ITEM 1.01. ENTRY INTO A MATERIAL DEFINITIVE AGREEMENT
On January 10, 2005, the Harleysville Group, Inc. (the "Company") entered
into a Change In Control Agreement with Akhil Tripathi, Senior Vice President
and Chief Information Officer of the Company. The terms of such agreement are
those described in Item 1.01 of the Company's Report on Form 8-K originally
filed with the Securities and Exchange Commission on January 6, 2005.
ITEM 9.01. FINANCIAL STATEMENTS AND EXHIBITS
(C) EXHIBITS
10.1 Form of Change In Control Agreement (incorporated herein by reference
to Exhibit 10.1 to the Company's Report on Form 8-K filed on January 6, 2005).
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.
HARLEYSVILLE GROUP INC.
Registrant
January 14, 2005 /s/Robert A. Kauffman
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Robert A. Kauffman
Senior Vice President, Secretary
& General Counsel
EXHIBIT INDEX
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Exhibit No. Description
10.1 Form of Change In Control Agreement (incorporated
herein by reference to Exhibit 10.1 to the Company's
Report on Form 8-K filed January 6, 2005) (furnished
pursuant to Item 1.01 hereof).