SEC Form 4/A · accession 0001209191-15-053895
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Randy Roach
Director
Period of report
Jun 12, 2015
Accepted (ET)
Jun 16, 2015 · 5:16 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 | 1,016 | $0.00 | A | 9,780 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This amendment is being filed to correct the number of shares automatically granted to the Reporting Person pursuant to the terms of the AMERISAFE Non-Employee Director Restricted Stock Plan on June 12, 2015, the date of the annual meeting of shareholders. Subject to restrictions that will lapse at the time of the Issuer's 2016 annual meeting of shareholders.