Filing Details
- Accession Number:
- 0001181431-10-032994
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2010-06-14 13:00:00
- Reporting Period:
- 2010-06-14
- Filing Date:
- 2010-06-14
- Accepted Time:
- 2010-06-14 19:52:09
- 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 | 2010-06-14 | 22,230 | $9.00 | 28,228 | No | 4 | M | Direct | |
| Common Stock, Par Value $.01 | Disposition | 2010-06-14 | 22,230 | $17.39 | 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 | 2010-06-14 | 22,230 | $0.00 | 22,230 | $9.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 161,690 | 2015-11-17 | No | 4 | M | Direct |
Footnotes
- The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $17.25 to $17.52, inclusive.
- Of the 183,920 options to purchase common stock, par value $.01, 136,420 have vested. The remaining 47,500 options vest November 17, 2010.
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