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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D. C. 20549
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FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF
SECURITIES PURSUANT TO SECTION 12(b) OR (g)
OF THE SECURITIES EXCHANGE ACT OF 1934
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AMERICAN SAFETY INSURANCE GROUP, LTD.
(Exact name of Registrant as specified in its charter)
Bermuda Not applicable
(State of incorporation (I.R.S. Employer
or organization) Identification No.)
44 Church Street
Hamilton, Bermuda HM HX
(Address of principal executive offices) (Zip Code)
If this form relates to the registration of a class of securities pursuant to
Section 12(b) of the Exchange Act and is effective pursuant to General
Instruction A.(c), please check the following box: [ ]
If this form relates to the registration of a class of securities pursuant to
Section 12(g) of the Exchange Act and is effective pursuant to General
Instruction A.(d), please check the following box: [X]
Securities Act registration statement file number to which this form relates:
333-42749.
Securities to be registered pursuant to Section 12(b) of the Act: None.
Securities to be registered pursuant to Section 12(g) of the Act: Common Shares,
$.01 par value per share.
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Item 1. Description of Registrant's Securities to be Registered.
For a description of the Registrant's Common Shares being registered
hereby, reference is made to the information set forth under the heading
"Description of Capital Stock" in the Prospectus that forms part of Amendment
No. 2 to the Registration Statement on Form S-1 (File No. 333-42749) filed by
the Registrant with the Securities and Exchange Commission on February 11, 1998
(the "Registration Statement"). Such information is incorporated herein by
reference. Definitive copies of the Prospectus will be filed pursuant to Rule
430A or pursuant to an amendment to the Registration Statement, and the
description of the Common Shares contained therein shall be deemed to be
incorporated by reference into this Registration Statement on Form 8-A.
Item 2. Exhibits.
Exhibit Number Description
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3.1 Memorandum of Association*
3.2 Bye-Laws*
4.1 Common Share Certificate*
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* Incorporated by reference to the exhibit of the same number contained in
Amendment No. 2 to the Registration Statement on Form S-1 (File No. 333-42749)
filed with the Securities and Exchange Commission on February 11, 1998.
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SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange Act
of 1934, the Registrant has duly caused this Registration Statement to be signed
on its behalf by the undersigned, thereunto duly authorized, on February 11,
1998.
AMERICAN SAFETY INSURANCE GROUP, LTD.
By: /s/ Lloyd A. Fox
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Lloyd A. Fox, President
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