SEC Form 4/A · accession 0001209191-17-037478
AMERISAFE INC · AMSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Jared A Morris
Director
Period of report
May 30, 2017
Accepted (ET)
Jun 2, 2017 · 6:48 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 | May 30, 2017 | P | 2,500 | $51.62 | A | 60,317 | I | Owned by Jared Morris 1997 Trust |
| Common stock, par value $0.01 | holding | — | — | — | 12,390 | 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 $51.55 and $51.70. 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.
- F2This amendment is being filed to correct the average weighted selling price of the Issuer's common stock.