-----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, Fb/pGg038S1dq+Gw4CaAtD57y1l1dZRKTwV7NSKGNwpd3jxzjZMwq/0Ks/ViobCV hlkkl0l5RFCB4tTLh0xiLQ== 0001209191-07-049916.txt : 20070822 0001209191-07-049916.hdr.sgml : 20070822 20070822151456 ACCESSION NUMBER: 0001209191-07-049916 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070816 FILED AS OF DATE: 20070822 DATE AS OF CHANGE: 20070822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: YOUNG AUSTIN P CENTRAL INDEX KEY: 0001021469 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-12251 FILM NUMBER: 071073005 BUSINESS ADDRESS: BUSINESS PHONE: 7138803810 MAIL ADDRESS: STREET 1: 6200 ARNOT CITY: HOUSTON STATE: TX ZIP: 77007 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 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0202 4/A 2007-08-16 2007-08-21 0 0001018979 AMERISAFE INC AMSF 0001021469 YOUNG AUSTIN P 2301 HIGHWAY 190 WEST DERIDDER LA 70634 1 0 0 0 Common Stock, par value $.01 per share 3404 D Common Stock, par value $.01 per share 2007-08-16 4 P 0 1851 13.50 A 5255 I by Young 1999 Family Limited Liability Partnership /s/ Todd Walker, attorney-in-fact for Austin P. Young, III 2007-08-22 -----END PRIVACY-ENHANCED MESSAGE-----