SEC Form 4 · accession 0001209191-16-142037
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Neal Andrew Fuller
Officer — EVP-CFO
Period of report
Sep 16, 2016
Accepted (ET)
Sep 19, 2016 · 5:19 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 | Sep 16, 2016 | S | 1,200 | $57.30 | D | 25,060 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents restricted shares that fully vested on September 15, 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 $57.21 and $57.34. 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.