Filing Details

Accession Number:
0001181431-14-031244
Form Type:
4
Zero Holdings:
No
Publication Time:
2014-09-05 16:19:30
Reporting Period:
2014-09-04
Filing Date:
2014-09-05
Accepted Time:
2014-09-05 16:19:30
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
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 2014-09-04 5,000 $8.50 6,490 No 4 M Direct
Common Stock, Par Value $0.01 Disposition 2014-09-04 5,000 $38.16 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 2014-09-04 5,000 $0.00 5,000 $8.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
41,750 2008-11-17 2015-11-17 No 4 M Direct
Footnotes
  1. Represents the weighted average selling price of the Issuer's common stock. The range of the sales prices were between $38.02 and $38.25. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full informatoin regarding the number of shares sold at each separate price.