SEC Form 4 · accession 0001209191-16-089578
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Teri G. Fontenot
Director
Period of report
Jan 4, 2016
Accepted (ET)
Jan 6, 2016 · 11:46 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, $0.01 par valueF1 | Jan 4, 2016 | A | 376 | $0.00 | A | 376 | 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 Issuer's 2016 annual meeting of shareholders.