SEC Form 4 · accession 0001209191-16-107682
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
C Allen Bradley Jr.
Officer — Executive Chairman · Director
Period of report
Mar 9, 2016
Accepted (ET)
Mar 10, 2016 · 6:37 pm 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 $0.01F1 | Mar 9, 2016 | S | 2,886 | $51.01 | D | 127,547 | D | |
| Common stock, par value $0.01F2 | Mar 10, 2016 | S | 7,114 | $51.04 | D | 120,433 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $51.00 and $51.08. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full information regarding the number of shares sold at each separate price.
- F2Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $51.00 and $51.24. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full information regarding the number of shares sold at each separate price.