<SEC-DOCUMENT>0001209191-15-053895-index.html : 20150616 <SEC-HEADER>0001209191-15-053895.hdr.sgml : 20150616 <ACCEPTANCE-DATETIME>20150616171600 ACCESSION NUMBER: 0001209191-15-053895 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150612 FILED AS OF DATE: 20150616 DATE AS OF CHANGE: 20150616 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: Roach Randy CENTRAL INDEX KEY: 0001391169 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-12251 FILM NUMBER: 15935076 MAIL ADDRESS: STREET 1: 2301 HIGHWAY 190 WEST CITY: DERIDDER STATE: LA ZIP: 70634-6006 </SEC-HEADER> <DOCUMENT> <TYPE>4/A <SEQUENCE>1 <FILENAME>doc4a.xml <DESCRIPTION>FORM 4/A SUBMISSION <TEXT> Document 1 - file: doc4a.html
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