Filing Details

Accession Number:
0001181431-11-019517
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2011-03-22 17:52:47
Reporting Period:
2010-07-23
Filing Date:
2011-03-22
Accepted Time:
2011-03-22 17:52:47
Original Submission Date:
2010-07-23
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 2010-07-23 23,564 $9.00 29,730 No 4 M Direct
Common Stock, Par Value $.01 Disposition 2010-07-23 22,230 $18.00 7,500 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 $.01 Option (right to buy) Disposition 2010-07-23 23,564 $0.00 23,564 $9.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
93,498 2008-11-17 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 117,062 options to purchase common stock owned by the reporting officer, 69,562 have vested. The remaining 47,500 options will vest on November 17, 2010.