SEC Form 4 · accession 0001209191-15-052934
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Randy Roach
Director
Period of report
Jun 12, 2015
Accepted (ET)
Jun 12, 2015 · 6:07 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 | Jun 12, 2015 | A | 677 | $0.00 | A | 9,441 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Subject to restrictions that will lapse at the time of the 2016 annual meeting of shareholders.