0000904454-11-000109.txt : 20110324
0000904454-11-000109.hdr.sgml : 20110324
20110324161508
ACCESSION NUMBER: 0000904454-11-000109
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20100615
FILED AS OF DATE: 20110324
DATE AS OF CHANGE: 20110324
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TRAYNOR SEAN
CENTRAL INDEX KEY: 0001212999
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12251
FILM NUMBER: 11709568
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE STE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMERISAFE INC
CENTRAL INDEX KEY: 0001018979
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 752069407
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2301 HIGHWAY 190 WEST
CITY: DERIDDER
STATE: LA
ZIP: 70634
BUSINESS PHONE: 337-463-9052
MAIL ADDRESS:
STREET 1: 2301 HIGHWAY 190 WEST
CITY: DERIDDER
STATE: LA
ZIP: 70634
4/A
1
edgar.xml
PRIMARY DOCUMENT
X0303
4/A
2010-06-15
2010-06-17
0001018979
AMERISAFE INC
AMSF
0001212999
TRAYNOR SEAN
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
1
0
0
0
Common Stock
2010-06-15
4
A
0
1690
0
A
2666
D
Restricted stock award issued under the Issuer's 2010 Restated Non-Employee Director Restricted Stock Plan. Such shares will vest at the time of the Issuer's 2011 annual meeting of shareholders.
David Mintz, Attorney-in-Fact
2011-03-24