-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, HE0QThzNyY9e4UGOBd0gm+TdV95MHBWdvVoggeX0i3sy37v/7aealI8NNBqnmZTJ euKVqnqWI0On30XXmudiTg== 0001209191-06-048469.txt : 20060901 0001209191-06-048469.hdr.sgml : 20060901 20060901115507 ACCESSION NUMBER: 0001209191-06-048469 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060901 FILED AS OF DATE: 20060901 DATE AS OF CHANGE: 20060901 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: NARIGON DAVID O CENTRAL INDEX KEY: 0001199862 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12251 FILM NUMBER: 061070572 BUSINESS ADDRESS: STREET 1: P O BOX712 CITY: DES MOINES STATE: IA ZIP: 50303-0712 BUSINESS PHONE: 5152802658 3 1 doc3.xml FORM 3 SUBMISSION X0202 3 2006-09-01 1 0001018979 AMERISAFE INC AMSF 0001199862 NARIGON DAVID O 2301 HIGHWAY 190 WEST DERIDDER LA 70634 0 1 0 0 Executive Vice President /s/Dayna M. Edwards, signing for David O. Narigon 2006-09-01 -----END PRIVACY-ENHANCED MESSAGE-----