Filing Details

Accession Number:
0001181431-10-011058
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-02-22 12:00:00
Reporting Period:
2010-02-22
Filing Date:
2010-02-22
Accepted Time:
2010-02-22 20:20:34
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 2010-02-22 6,080 $9.00 12,078 No 4 M Direct
Common Stock, Par Value $.01 Disposition 2010-02-22 6,080 $18.25 5,998 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 Employee Stock Option (right to buy) Disposition 2010-02-22 6,080 $0.00 6,080 $9.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
183,920 2015-11-17 No 4 M Direct
Footnotes
  1. Transaction executed pursuant to 10b5-1 Plan executed while officer was not in possession of material non-public information.
  2. Of the 190,000 options to purchase common stock, par value $.01, 142,500 have vested. The remaining 47,500 options vest November 17, 2010.