SEC Form 4 · accession 0001209191-16-108908
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Vincent J. Gagliano
Officer — EVP - Chief Risk Officer
Period of report
Mar 15, 2016
Accepted (ET)
Mar 16, 2016 · 5:38 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,F2 | Mar 15, 2016 | S | 304 | $50.68 | D | 23,505 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents restricted shares that fully vested on March 11, 2016. The shares were sold pursuant to the Reporting Person's 10b5-1 plan to cover taxes.
- F2Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $50.57 and $50.89. 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.