0001193125-16-559918.txt : 20160428 0001193125-16-559918.hdr.sgml : 20160428 20160427180034 ACCESSION NUMBER: 0001193125-16-559918 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20160426 ITEM INFORMATION: Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers: Compensatory Arrangements of Certain Officers ITEM INFORMATION: Regulation FD Disclosure ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20160428 DATE AS OF CHANGE: 20160427 FILER: 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 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-12251 FILM NUMBER: 161596526 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 8-K 1 d185733d8k.htm FORM 8-K Form 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of report (Date of earliest event reported): April 26, 2016

 

 

AMERISAFE, INC.

(Exact Name of Registrant as Specified in Charter)

 

 

 

Texas   001-12251   75-2069407
(State or Other Jurisdiction
of Incorporation)		  

(Commission
File Number)

  

(IRS Employer
Identification No.)

2301 Highway 190 West

DeRidder, Louisiana 70634

(Address of Principal Executive Offices) (Zip Code)

Registrant’s telephone number, including area code: (337) 463-9052

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the Registrant under any of the following provisions (see General Instruction A.2. below):

 

  ¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

  ¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

  ¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

  ¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 

Item 5.02. Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.

On April 26, 2016, the Board of Directors (the “Board”) of AMERISAFE, Inc. (the “Company”), appointed G. Janelle Frost, age 45, as a member of the Board to fill the vacancy created by C. Allen Bradley’s retirement.

Ms. Frost will serve in the class of directors that will stand for re-election at the annual meeting of stockholders in 2017.

Ms. Frost will not receive additional compensation for her services as a director as she serves as the Company’s President and Chief Executive Officer. Information relating to Ms. Frost’s compensation will be described in the Company’s proxy statement, which will be filed with the Securities and Exchange Commission on April 29, 2016, under the captions “Compensation Discussion and Analysis” and “Executive Compensation.”

Item 7.01. Regulation FD Disclosure.

On April 27, 2016, the Company issued a press release announcing Ms. Frost’s appointment as a member of the Board on April 26, 2016.

A copy of the Company’s press release, dated April 27, 2016, is furnished as Exhibit 99.1 to this report.

Item 9.01. Financial Statements and Exhibits.

 

  (d) Exhibits.

 

Exhibit
Number

   

Description

99.1    Press release, dated April 27, 2016

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

AMERISAFE, INC.
By:   /s/ Kathryn H. Shirley
 

Kathryn H. Shirley, Executive Vice

President, General Counsel and Secretary

Date: April 27, 2016

 

3

EX-99.1 2 d185733dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

 

LOGO  

NEWS RELEASE

 

 

Contact:         Neal A Fuller, EVP & CFO

                      AMERISAFE, Inc.

                      337-463-9052

AMERISAFE’S BOARD OF DIRECTORS APPOINTS

G. JANELLE FROST TO THE BOARD

DeRidder, La., April 27, 2016 (GLOBE NEWSWIRE) － AMERISAFE, Inc. (Nasdaq: AMSF) a specialty provider of hazardous workers’ compensation insurance, today announced that AMERISAFE’s Board of Directors (the “Board”) appointed G. Janelle Frost as a member of the Board to fill the vacancy created by C. Allen Bradley’s retirement.

Jared A. Morris, Chairman of the Board, said, “The Board is pleased that Ms. Frost will serve as a member of the AMERISAFE Board. Ms. Frost has served as our CEO since April 2015 and prior to that served in a number of management roles, including Chief Operating Officer and Executive Vice President and Chief Financial Officer. As CEO and President of the Company, Janelle makes a great addition to our Board.”

About AMERISAFE

AMERISAFE, Inc. is a specialty provider of workers’ compensation insurance focused on small to mid-sized employers engaged in hazardous industries, principally construction, trucking, manufacturing, agriculture, and oil and gas. AMERISAFE actively markets workers’ compensation insurance in 27 states.

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