NT 10-K 1 d34129ntnt10vk.htm NOTIFICATION OF LATE FILING nt10vk
 

     
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 12b-25
NOTIFICATION OF LATE FILING
           
(Check one):   x  Form 10-K o  Form 20-F o  Form 11-K o  Form 10-Q o  Form 10-D o  Form N-SAR o  Form N-CSR
 
         
 
  For Period Ended:   December 31, 2005
 
     
 
         
    o   Transition Report on Form 10-K  
 
         
    o   Transition Report on Form 20-F  
 
         
    o   Transition Report on Form 11-K  
 
         
    o   Transition Report on Form 10-Q  
 
         
    o   Transition Report on Form N-SAR  
 
         
 
  For the Transition Period Ended:    
 
       

Read Instruction (on back page) Before Preparing Form. Please Print or Type.
Nothing in this form shall be construed to imply that the Commission has verified any information contained herein.
If the notification relates to a portion of the filing checked above, identify the Item(s) to which the notification relates:
PART I — REGISTRANT INFORMATION
AFFIRMATIVE INSURANCE HOLDINGS, INC.
 
Full Name of Registrant
 
Former Name if Applicable
4450 Sojourn Drive, Suite 500
 
Address of Principal Executive Office (Street and Number)
Addison, TX 75001
 
City, State and Zip Code
PART II — RULES 12b-25(b) AND (c)
If the subject report could not be filed without unreasonable effort or expense and the registrant seeks relief pursuant to Rule 12b-25(b), the following should be completed. (Check box if appropriate)
         
x
  (a)   The reason described in reasonable detail in Part III of this form could not be eliminated without unreasonable effort or expense
x
  (b)   The subject annual report, semi-annual report, transition report on Form 10-K, Form 20-F, Form 11-K, Form N-SAR or Form N-CSR, or portion thereof, will be filed on or before the fifteenth calendar day following the prescribed due date; or the subject quarterly report or transition report on Form 10-Q, or portion thereof, will be filed on or before the fifth calendar day following the prescribed due date; and
¨
  (c)   The accountant’s statement or other exhibit required by Rule 12b-25(c) has been attached if applicable.

 


 

PART III — NARRATIVE
State below in reasonable detail why Forms 10-K, 20-F, 11-K, 10-Q,10-D, N-SAR, N-CSR, or the transition report or portion thereof, could not be filed within the prescribed time period.
Affirmative Insurance Holdings, Inc. (the “Company”) will be unable to file its Annual Report on Form 10-K for the fiscal year ended December 31, 2005 (the “2005 Form 10-K”) by the March 16, 2006 because the Company’s management is finalizing its review of certain accounting matters relating to financial statement presentation and its assessment related to the Company’s internal control over financial reporting as of December 31, 2005, as required by Section 404 of the Sarbanes-Oxley Act of 2002, and requires additional time to complete such review and assessment. Management believes the preparation of its 2005 Form 10-K is substantially complete, subject to the resolution of certain accounting presentation matters and the completion of management’s assessment of the Company’s internal control over financial reporting.

The Company is required to comply with Section 404 of the Sarbanes-Oxley Act of 2002 for the first time as of December 31, 2005. Management’s testing of the internal control over financial reporting as of December 31, 2005, is substantially complete and the Company is in the process of evaluating identified deficiencies.

Due to the additional time required by the Company to complete these activities, the Company cannot file its 2005 Form 10-K within the prescribed period without unreasonable effort or expense. The Company currently anticipates that the 2005 Form 10-K will be filed no later than the fifteenth calendar day (March 31, 2006) following the date on which the 2005 Form 10-K was due (March 16, 2006).
PART IV — OTHER INFORMATION
(1)   Name and telephone number of person to contact in regard to this notification
         
Mark E. Pape    972    728-6481 
(Name)
  (Area Code)   (Telephone Number)
(2)   Have all other periodic reports required under Section 13 or 15(d) of the Securities Exchange Act of 1934 or Section 30 of the Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required to file such report(s) been filed ? If answer is no, identify report(s).
    Yes x     No o
 
   
 
(3)   Is it anticipated that any significant change in results of operations from the corresponding period for the last fiscal year will be reflected by the earnings statements to be included in the subject report or portion thereof?
    Yes x     No o
 
   
 
 
    If so, attach an explanation of the anticipated change, both narratively and quantitatively, and, if appropriate, state the reasons why a reasonable estimate of the results cannot be made.
 
   
Management, in consultation with the Audit Committee of the Board of Directors, has determined that certain of the consolidating elimination entries used to prepare previously filed financial reports were not made in conformity with generally accepted accounting principles. The erroneous elimination entries had no effect on reported net income, earnings per share or stockholders’ equity, but did have the effect of materially understating gross revenues and expenses and misstating certain assets and liabilities. Accordingly, management has determined, and the Audit Committee concurs with management’s determination, that previously issued audited consolidated financial statements as of December 31, 2004 and for the year then ended and the previously issued unaudited interim consolidated financial statements as of and for the quarters and year to date periods ended March 31, 2005, June 30, 2005, and September 30, 2005, should be restated and should no longer be relied upon. Management is currently assessing whether the audited financial statements for the years ended December 31, 2002 and December 31, 2003 might also be restated to reflect the correction of consolidating elimination entries. The Company has discussed this matter with its independent public accounting firm. The anticipated effect of the restatements on the consolidated statements of operations for the affected periods is presented below.

 


 

EFFECT OF RESTATEMENTS ON PREVIOUSLY ISSUED
CONSOLIDATED STATEMENTS OF OPERATIONS

(dollars in thousands)
Unaudited
                                                 
    For the Year ended        
    December 31, 2004        
    As Restated     As filed     Difference  
     
 
                       
Net premiums earned
  $ 194,341     $ 194,341     $  
Commissions and fees
    126,679       92,014       34,665  
Net investment income
    2,327       2,327        
Realized gains (losses)
    (8 )     (8 )      
     
Total Revenues
    323,339       288,674       34,665  
     
Losses and loss adjustment expenses
    128,969       128,969        
Policy acquisition and operating expense
    152,313       117,648       34,665  
Interest expense
    588       588        
     
Total expenses
    281,870       247,205       34,665  
     
Income tax expense
    15,319       15,319        
     
Minority interest, net of income taxes
    804       804        
Equity in unconsolidated subsidiaries, net of income taxes
    913       913        
     
Net income
  $ 24,433     $ 24,433     $  
     
                                                 
    For the Quarter ended        
    March 31, 2005        
    As Restated     As filed     Difference  
     
 
                       
Net premiums earned
  $ 47,210     $ 47,210     $  
Commissions and fees
    38,346       24,761       13,585  
Net investment income
    227       227        
Realized gains (losses)
    (17 )     (17 )      
     
Total Revenues
    85,766       72,181       13,585  
     
Losses and loss adjustment expenses
    31,708       31,708        
Policy acquisition and operating expense
    42,084       28,499       13,585  
Interest expense
    217       217        
     
Total expenses
    74,009       60,424       13,585  
     
Income tax expense
    4,207       4,207        
Minority interest, net of income taxes
    95       95        
Equity in unconsolidated subsidiaries, net of income taxes
    173       173        
     
Net income
  $ 7,282     $ 7,282     $  
     
                                                 
    For the Quarter ended             For the Six Months ended        
    June 30, 2005             June 30, 2005        
    As Restated     As filed     Difference     As Restated     As filed     Difference  
         
 
                                               
Net premiums earned
  $ 43,738     $ 43,738     $     $ 90,948     $ 90,948     $  
Commissions and fees
    30,766       23,111       7,655       69,112       47,872       21,240  
Net investment income
    363       363             590       590        
Realized gains (losses)
    (3 )     (3 )           (20 )     (20 )      
         
Total Revenues
    74,864       67,209       7,655       160,630       139,390       21,240  
         
Losses and loss adjustment expenses
    28,149       28,149             59,857       59,857        
Policy acquisition and operating expense
    37,287       29,632       7,655       79,371       58,131       21,240  
Interest expense
    174       174             391       391        
         
Total expenses
    65,610       57,955       7,655       139,619       118,379       21,240  
         
Income tax expense
    3,311       3,311             7,518       7,518        
Minority interest, net of income taxes
    212       212             307       307        
Equity in unconsolidated subsidiaries, net of income taxes
    250       250             423       423        
         
Net income
  $ 5,481     $ 5,481     $     $ 12,763     $ 12,763     $  
         
                                                 
    For the Quarter ended             For the Nine Months ended        
    September 30, 2005             September 30, 2005        
    As Restated     As filed     Difference     As Restated     As filed     Difference  
         
 
                                               
Net premiums earned
  $ 50,328     $ 50,328     $     $ 141,276     $ 141,276     $  
Commissions and fees
    27,901       21,436       6,465       97,013       69,308       27,705  
Net investment income
    799       799             1,389       1,389        
Realized gains (losses)
    11       11             (9 )     (9 )      
         
Total Revenues
    79,039       72,574       6,465       239,669       211,964       27,705  
         
Losses and loss adjustment expenses
    35,468       35,468             95,325       95,325        
Policy acquisition and operating expense
    32,862       26,397       6,465       112,233       84,528       27,705  
Interest expense
    135       135             526       526        
         
Total expenses
    68,465       62,000       6,465       208,084       180,379       27,705  
         
Income tax expense
    4,150       4,150             11,668       11,668        
Minority interest, net of income taxes
    274       274             581       581        
Equity in unconsolidated subsidiaries, net of income taxes
    173       173             596       596        
         
Net income
  $ 5,977     $ 5,977     $     $ 18,740     $ 18,740     $  
         


 

The Company intends to restate the previously issued financial statements to reflect a correction of an error with respect to consolidating elimination entries. The restatements have no impact on previously reported net income, earnings per share or stockholders’ equity. The restated audited consolidated financial statements as of December 31, 2004 and for the year then ended and the unaudited interim consolidated financial statements as of and for the quarters and year to date periods ended March 31, 2005, June 30, 2005, and September 30, 2005 will be included in the 2005 Form 10-K, which the Company expects to file with the SEC on or before March 31, 2006.

 


 

AFFIRMATIVE INSURANCE HOLDINGS, INC.
(Name of Registrant as Specified in Charter)
has caused this notification to be signed on its behalf by the undersigned hereunto duly authorized.
         
     
Date March 16, 2006  By:   /s/ Mark E. Pape    
    Mark E. Pape    
    Executive Vice President and Chief Financial Officer