SEC Form 4 · accession 0001209191-18-051793
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 18, 2018
Accepted (ET)
Sep 20, 2018 · 4:30 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 18, 2018 | S | 2,291 | $63.61 | D | 20,919 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares were sold pursuant to the Reporting Person's 10b5-1 plan to pay required withholding taxes associated with shares of restricted stock that fully vested September 15, 2018.
- F2Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $63.30 and $64.85. 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.