Filing Details
- Accession Number:
- 0001181431-11-018666
- Form Type:
- 4/A
- Zero Holdings:
- No
- Publication Time:
- 2011-03-17 14:29:12
- Reporting Period:
- 2010-07-22
- Filing Date:
- 2011-03-17
- Accepted Time:
- 2011-03-17 14:29:12
- 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 | 2010-07-22 | 2,968 | $9.00 | 8,966 | No | 4 | M | Direct | |
| Common Stock, Par Value $.01 | Disposition | 2010-07-22 | 2,800 | $17.75 | 6,166 | 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 | 2010-07-22 | 2,968 | $0.00 | 2,968 | $9.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 117,062 | 2015-11-17 | No | 4 | M | Direct |
Footnotes
- Transaction completed pursuant to 10b5-1 Plan executed while officer wa not in possession of material non-public information.
- Of the 120,030 options to purchase common stock owned by the reporting officer, 72,530 have vested. The remaining 47,500 options will vest on November 17, 2010.
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