Filing Details

Accession Number:
0001209191-21-034116
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-05-19 18:04:30
Reporting Period:
2021-05-17
Accepted Time:
2021-05-19 18:04:30
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
1570960 J. Vincent Gagliano 2301 Highway 190 West
Deridder LA 70634
Evp - Chief Risk Officer 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 2021-05-17 3,332 $0.00 20,973 No 4 A Direct
Common Stock, Par Value $0.01 Disposition 2021-05-19 2,499 $64.29 18,474 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 A Direct
No 4 S Direct
Footnotes
  1. Shares issued for the 2018-2020 performance period under an award agreement between the reporting person and the Company pursuant to the Company's Equity and Incentive Compensation Plan. The awards were determined by the Compensation Committee of the Board of Directors of the Company on May 17, 2021 in accordance with the terms of the Plan and the related award agreement.
  2. The shares were sold pursuant to the Reporting Person's 10b5-1 plan primarily to pay required withholding taxes associated with the shares awarded under the related award agreement.
  3. Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $64.00 and $64.61. 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.