Filing Details

Accession Number:
0001181431-13-049728
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-09-18 17:06:49
Reporting Period:
2013-09-10
Filing Date:
2013-09-18
Accepted Time:
2013-09-18 17:06:49
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1018979 Amerisafe Inc AMSF Fire, Marine & Casualty Insurance (6331) 752069407
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1570960 J. Vincent Gagliano 2301 Highway 190 West
Deridder LA 70634
Evp - Chief Technology Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, Par Value $0.01 Acquisiton 2013-09-10 463 $18.70 27,305 No 4 M Direct
Common Stock, Par Value $0.01 Disposition 2013-09-10 463 $33.70 26,842 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Employee Stock Option (right to buy) Disposition 2013-09-10 463 $0.00 463 $18.70
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
14,737 2009-11-19 2019-11-19 No 4 M Direct