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Filing Details

Accession Number:
Form Type:
Zero Holdings:
Publication Time:
2018-03-02 16:44:57
Reporting Period:
Accepted Time:
2018-03-02 16:44:57
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
1449515 Janelle G. Frost 2301 Highway 190 West
Deridder LA 70634
President & Ceo Yes 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 2018-03-02 15,000 $0.00 69,322 No 4 A Direct
Common Stock, Par Value $0.01 Disposition 2018-03-02 7,500 $55.53 61,822 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 A 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 2018-03-02 15,000 $0.00 15,000 $4.46
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2013-11-10 2018-11-10 No 4 M Direct
  1. Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $55.50 and $56.05. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full information regarding the number of shares sold at each separate price.