Filing Details

Accession Number:
0001181431-10-038058
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-07-20 13:00:00
Reporting Period:
2010-07-20
Filing Date:
2010-07-20
Accepted Time:
2010-07-20 19:46:03
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 2010-07-20 163 $9.00 6,161 No 4 M Direct
Common Stock, Par Value $.01 Disposition 2010-07-20 163 $17.75 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, $.01 Par Value Option (right to buy) Disposition 2010-07-20 163 $0.00 163 $9.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
133,765 2015-11-17 No 4 M Direct
Footnotes
  1. Transaction completed pursuant to 10b5-1 Plan executed while officer was not in possession of material non-public information
  2. Of the 133,928 options to purchase common stock, par value $.01, 86,428 have vested. The remaining 47,500 options vest November 17, 2010.