0001181431-13-037182.txt : 20130628
0001181431-13-037182.hdr.sgml : 20130628
20130628122135
ACCESSION NUMBER: 0001181431-13-037182
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130614
FILED AS OF DATE: 20130628
DATE AS OF CHANGE: 20130628
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: YOUNG AUSTIN P
CENTRAL INDEX KEY: 0001021469
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12251
FILM NUMBER: 13939757
MAIL ADDRESS:
STREET 1: 6200 ARNOT
CITY: HOUSTON
STATE: TX
ZIP: 77007
4
1
rrd384590.xml
FORM 4
X0306
4
2013-06-14
0
0001018979
AMERISAFE INC
AMSF
0001021469
YOUNG AUSTIN P
2301 HIGHWAY 190 WEST
DERIDDER
LA
70634
1
0
0
0
Common Stock, par value $0.01
2013-06-14
4
A
0
896
0
A
6286
D
Common stock, par value $0.01
5931
I
Owned through Young 1999 Family Limited Liability Parthership
Subject to restrictions that will lapse at the time of the Issuer's 2014 annual meeting of shareholders.
Excludes 3,247 shares previously owned directly which were transferred to the family limited partnership on January 26, 2011.
/s/Kathryn H. Rowan, attorney-in-fact for Austin P. Young, III
2013-06-28