0001181431-14-036294.txt : 20141113
0001181431-14-036294.hdr.sgml : 20141113
20141113130549
ACCESSION NUMBER: 0001181431-14-036294
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141111
FILED AS OF DATE: 20141113
DATE AS OF CHANGE: 20141113
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: BROWN MICHAEL J
CENTRAL INDEX KEY: 0001280417
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12251
FILM NUMBER: 141217382
MAIL ADDRESS:
STREET 1: 200 WEST CONGRESS STREET
CITY: LAFAYETTE
STATE: LA
ZIP: 70501
3
1
rrd418886.xml
FORM 3
X0206
3
2014-11-11
0
0001018979
AMERISAFE INC
AMSF
0001280417
BROWN MICHAEL J
601 POYDRAS STREET
SUITE 2100
NEW ORLEANS
LA
70130
1
0
0
0
Common Stock, $.01 par value
0
D
No Issuer securities benefically owned by reporting person on 11/11/2014.
/s/ Kathryn H. Rowan, attorney-in-fact for Michael Brown
2014-11-13