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): December 1, 2021

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))

Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company  ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐

Securities registered or to be registered pursuant to Section 12(b) of the Act.

Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, par value $0.01 per share	AMSF	Nasdaq Stock Market LLC

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

On December 1, 2021, Neal A. Fuller, Chief Financial Officer advised the Company that he expects to retire from AMERISAFE, Inc. (the “Company”) in 2022 and that he will remain with the Company to assist in the transition of his responsibilities to his successor.

The Company will commence an executive search for a new Chief Financial Officer.

Item 7.01. Regulation FD Disclosure.

On December 3, 2021, the Company issued a press release announcing Mr. Fuller’s planned retirement.

A copy of the Company’s press release, dated December 3, 2021, 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 December 3, 2021
104	Cover Page Interactive Data File (embedded within the Inline XBRL document).

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, Chief
	Administrative Officer and Secretary

Date: December 3, 2021

EX-99.1

Exhibit 99.1

Kathryn H. Shirley         EVP-CAO         AMERISAFE         337.463.9052        

AMERISAFE ANNOUNCES PLANNED

RETIREMENT OF CHIEF FINANCIAL OFFICER

DeRidder, LA – December 3, 2021 - AMERISAFE, Inc. (Nasdaq: AMSF), a specialty provider of workers’ compensation insurance focused on high hazard industries, today announced Neal Fuller, its Chief Financial Officer, plans to retire. Mr. Fuller informed the Company that he currently expects to retire in 2022 and that he will remain with the Company to assist in the transition of his responsibilities to his successor.

Mr. Fuller joined AMERISAFE in September 2015 as Executive Vice-President and Chief Financial Officer, and has over 30 years of experience in leadership within the insurance industry.

G. Janelle Frost, President and Chief Executive Officer, stated, “Neal is a key member of the executive management team and a valuable member of our community. We are grateful for his service to AMERISAFE and for providing a model of thoughtful leadership to be admired. We appreciate Neal’s continuing commitment to the Company as we search for his successor. On behalf of the Board of Directors and the AMERISAFE family, I wish Neal and his wife, Maria, the very best in their upcoming retirement years.”

AMERISAFE plans to launch an executive search for a new CFO.

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, logging and lumber, agriculture, and manufacturing. AMERISAFE actively markets workers’ compensation insurance in 27 states.

XML

Document and Entity Information	Dec. 01, 2021
Cover [Abstract]
Entity Registrant Name	AMERISAFE INC
Amendment Flag	false
Entity Central Index Key	0001018979
Document Type	8-K
Document Period End Date	Dec. 01, 2021
Entity Incorporation State Country Code	TX
Entity File Number	001-12251
Entity Tax Identification Number	75-2069407
Entity Address, Address Line One	2301 Highway 190 West
Entity Address, City or Town	DeRidder
Entity Address, State or Province	LA
Entity Address, Postal Zip Code	70634
City Area Code	(337)
Local Phone Number	463-9052
Written Communications	false
Soliciting Material	false
Pre Commencement Tender Offer	false
Pre Commencement Issuer Tender Offer	false
Entity Emerging Growth Company	false
Security 12b Title	Common Stock, par value $0.01 per share
Trading Symbol	AMSF
Security Exchange Name	NASDAQ