Filing Details

Accession Number:
0001181431-10-033182
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-06-15 13:00:00
Reporting Period:
2010-06-15
Filing Date:
2010-06-15
Accepted Time:
2010-06-15 17:39:06
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
1342814 P Craig Leach Amerisafe, Inc.
2301 Highway 190 West
Deridder LA 70634
Evp, Sales And Marketing 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 $.01 Acquisiton 2010-06-15 27,762 $9.00 33,760 No 4 M Direct
Common Stock, Par Value $.01 Disposition 2010-06-15 27,762 $17.55 5,998 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, Par Value $.01 Option (right to buy) Disposition 2010-06-15 27,762 $0.00 27,762 $9.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
133,928 2015-11-17 No 4 M Direct
Footnotes
  1. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $17.50 to $17.75, inclusive.
  2. Of the 161,690 options to purchase common stock, par value $.01, 114,190 have vested. The remaining 47,500 options vest November 17, 2010.