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Filing Details

Accession Number:
Form Type:
Zero Holdings:
Publication Time:
2014-08-25 17:35:28
Reporting Period:
Filing Date:
Accepted Time:
2014-08-25 17:35:28
SEC Url:
Form 4 Filing
Cik Name Symbol Sector (SIC) IRS No
1018979 Amerisafe Inc AMSF Fire, Marine & Casualty Insurance (6331) 752069407
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1341774 R Geoffrey Banta 2301 Highway 190 West
Deridder LA 70634
Evp/corporate Development 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 2014-08-22 208 $8.50 1,698 No 4 M Direct
Common Stock, Par Value $0.01 Disposition 2014-08-22 208 $37.30 1,490 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 purchase) Disposition 2014-08-22 208 $0.00 208 $8.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
51,542 2008-11-17 2015-11-17 No 4 M Direct