SEC Form 4 · accession 0001209191-15-079932
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brendan Gau
Officer — Exec.VP & Chief Investment Of.
Period of report
Nov 11, 2015
Accepted (ET)
Nov 13, 2015 · 7:30 am EST
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 $0.01 | Nov 11, 2015 | M | 1,798 | $15.60 | A | 23,154 | D | |
| Common stock, par value $0.01 | Nov 11, 2015 | S | 1,798 | $54.00 | D | 21,356 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to purchase)F1 | $15.60 | Nov 11, 2015 | M | 1,798 | D | Aug 7, 2012 | Aug 7, 2019 | Common stock, par value $0.01 per share | 1,798 | 32,479 | D |
Explanation of responses
- F1The stock options became exercisable in five equal annual installments beginning on August 7, 2010, which was the first anniversary of the grant date.