SEC Form 4 · accession 0001209191-15-043977
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
C Allen Bradley Jr.
Officer — Chairman and CEO · Director
Period of report
May 14, 2015
Accepted (ET)
May 18, 2015 · 7:00 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001018979
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock, par value $0.01F1 | May 14, 2015 | A | 5,956 | $0.00 | A | 147,818 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares issued for the 2012-2014 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 14, 2015 in accordance with the terms of the Plan and the related award agreement.