0001209191-16-108905.txt : 20160316
0001209191-16-108905.hdr.sgml : 20160316
20160316173649
ACCESSION NUMBER: 0001209191-16-108905
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160314
FILED AS OF DATE: 20160316
DATE AS OF CHANGE: 20160316
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: BRADLEY C ALLEN JR
CENTRAL INDEX KEY: 0001341775
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12251
FILM NUMBER: 161510640
MAIL ADDRESS:
STREET 1: AMERISAFE INC
STREET 2: 2301 HIGHWAY 190 WEST
CITY: DERIDDER
STATE: LA
ZIP: 70634
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-03-14
0
0001018979
AMERISAFE INC
AMSF
0001341775
BRADLEY C ALLEN JR
2301 HIGHWAY 190 WEST
DERIDDER
LA
70634
1
1
0
0
Executive Chairman
Common stock, par value $0.01
2016-03-14
4
S
0
800
51.00
D
119633
D
Common stock, par value $0.01
2016-03-15
4
S
0
2206
51.00
D
117427
D
/s/C. Allen Bradley, Jr.
2016-03-16