Filing Details
- Accession Number:
- 0001209191-15-082078
- Form Type:
- 4/A
- Zero Holdings:
- No
- Publication Time:
- 2015-11-24 18:21:16
- Reporting Period:
- 2015-11-05
- Filing Date:
- 2015-11-24
- Accepted Time:
- 2015-11-24 18:21:16
- Original Submission Date:
- 2015-11-09
- 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 |
|---|---|---|---|---|---|---|---|
| 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 | 2015-11-05 | 14,481 | $15.60 | 35,837 | No | 4 | M | Direct | |
| Common Stock, Par Value $0.01 | Disposition | 2015-11-05 | 14,481 | $54.00 | 21,356 | No | 4 | S | Direct | |
| Common Stock, Par Value $0.01 | Acquisiton | 2015-11-06 | 10,967 | $15.60 | 32,323 | No | 4 | M | Direct | |
| Common Stock, Par Value $0.01 | Disposition | 2015-11-06 | 10,967 | $54.01 | 21,356 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | M | Direct | |
| No | 4 | S | Direct | |
| 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 | 2015-11-05 | 160 | $0.00 | 160 | $15.60 |
| Common Stock, Par Value $0.01 Per Share | Employee Stock Option (right to purchase) | Disposition | 2015-11-05 | 14,321 | $0.00 | 14,321 | $15.60 |
| Common Stock, Par Value $0.01 Per Share | Employee Stock Option (right to purchase) | Disposition | 2015-11-06 | 679 | $0.00 | 679 | $15.60 |
| Employee Stock Option (Right To Purchase) | Employee Stock Option (right to purchase) | Disposition | 2015-11-06 | 10,288 | $0.00 | 10,288 | $15.60 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 60,000 | 2010-08-07 | 2019-08-07 | No | 4 | M | Direct |
| 45,679 | 2011-08-07 | 2019-08-07 | No | 4 | M | Direct |
| 45,000 | 2011-08-07 | 2019-08-07 | No | 4 | M | Direct |
| 34,712 | 2012-08-07 | 2019-08-07 | No | 4 | M | Direct |
Footnotes
- Amendment file to 1) correct transaction codes and 2) include the correct acquisition price of securities in Table I.
- Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $54.00 and $54.07. 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.
- Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $54.00 and $54.03. 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.
- The stock options became exercisable in five equal installments beginning on August 7, 2010, which was the first anniversary of the grant date.
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