SEC Form 4 · accession 0001193125-26-332808
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Raymond F. Wise Jr.
Officer — EVP - CSO
Period of report
Aug 1, 2026
Accepted (ET)
Aug 4, 2026 · 4:10 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001018979
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stockF1 | Aug 1, 2026 | M | 4,257 | — | A | 10,818 | D | |
| Common stock | Aug 1, 2026 | F | 1,846 | $29.04 | D | 8,972 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F2 | — | Aug 1, 2026 | M | 4,257 | D | — | — | Common Stock | 4,257 | 9,878 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2On August 1, 2023, the reporting person was granted 14,188 restricted stock units, vesting in four annual installments of 15%, 20%, 30%, and 35% beginning August 1, 2024, the first anniversary of the grant date.