Filing Details

Accession Number:
0001181431-11-016397
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-03-08 13:46:20
Reporting Period:
2011-03-07
Filing Date:
2011-03-08
Accepted Time:
2011-03-08 13:46:20
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
1374459 Richard Todd Walker 2301 Highway 190 West
Deridder LA 70634
Evp/General Counsel 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 2011-03-07 8,500 $9.98 12,640 No 4 M Direct
Common Stock, Par Value $.01 Disposition 2011-03-07 5,541 $20.32 7,099 No 4 S Direct
Common Stock, Par Value $.01 Acquisiton 2011-03-08 11,500 $9.98 18,599 No 4 M Direct
Common Stock, Par Value $.01 Disposition 2011-03-08 10,975 $20.75 7,624 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 $.01 Employee Stock Option (right to buy) Disposition 2011-03-07 8,500 $0.00 8,500 $9.98
Common Stock, Par Value $.01 Employee Stock Option (right to purchase) Disposition 2011-03-08 11,500 $0.00 11,500 $9.98
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
41,500 2007-09-25 2016-09-25 No 4 M Direct
30,000 2008-09-25 2016-09-25 No 4 M Direct
Footnotes
  1. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $20.21 to $20.36, inclusive.
  2. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $20.35 to $21.06, inclusive.
  3. These options to purchase were issued on 09/25/2006, and vest yearly in five equal increments. On the date of this report 10,000 of the options remain unvested.