Filing Details

Accession Number:
0001209191-15-079932
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-11-13 07:30:22
Reporting Period:
2015-11-11
Filing Date:
2015-11-13
Accepted Time:
2015-11-13 07:30:22
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
1466489 Brendan Gau 2301 Highway 190 West
Deridder LA 70634
Exec.vp & Chief Investment Of. 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 2015-11-11 1,798 $15.60 23,154 No 4 M Direct
Common Stock, Par Value $0.01 Disposition 2015-11-11 1,798 $54.00 21,356 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 $0.01 Per Share Employee Stock Option (right to purchase) Disposition 2015-11-11 1,798 $0.00 1,798 $15.60
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
32,479 2012-08-07 2019-08-07 No 4 M Direct
Footnotes
  1. The stock options became exercisable in five equal annual installments beginning on August 7, 2010, which was the first anniversary of the grant date.