Filing Details
- Accession Number:
- 0001181431-11-030043
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2011-05-16 16:50:42
- Reporting Period:
- 2011-05-13
- Filing Date:
- 2011-05-16
- Accepted Time:
- 2011-05-16 16:50:42
- 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 |
---|---|---|---|---|---|---|---|
1341774 | R Geoffrey Banta | 2301 Highway 190 West Deridder LA 70634 | President & Coo | 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 | Disposition | 2011-05-13 | 4,818 | $22.57 | 0 | No | 4 | S | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | S | Direct |
Reported Derivative Holdings
Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|---|---|---|---|
Common Stock, Par Value $.01 | Option (right to purchase) | $9.00 | 2010-11-17 | 2015-11-17 | 118,750 | 118,750 | Direct |
Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|
2015-11-17 | 118,750 | 118,750 | Direct |
Footnotes
- This price is a weighted average. Sales were made at various prices ranging from $22.51 to $22.61.
- Since the date of his last report Mr. Banta transferred 4,817 shares of common stock, par value $.01, and 118,750 options to purchase common stock, par value $.01, at a strike price of $9.00 to his ex-spouse pursuant to a domestic relations order. He does not report any of the shares or options so transferred to his ex-spouse as being beneficially held.