0001209191-21-032144.txt : 20210512
0001209191-21-032144.hdr.sgml : 20210512
20210512173141
ACCESSION NUMBER: 0001209191-21-032144
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210511
FILED AS OF DATE: 20210512
DATE AS OF CHANGE: 20210512
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TRAYNOR SEAN
CENTRAL INDEX KEY: 0001212999
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12251
FILM NUMBER: 21916362
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE STE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
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
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-05-11
0
0001018979
AMERISAFE INC
AMSF
0001212999
TRAYNOR SEAN
599 LEXINGTON AVENUE 18TH FLOOR
NEW YORK
NY
10022
1
0
0
0
Common stock, par value $0.01
2021-05-11
4
P
0
8000
63.59
A
8925
D
Represents the weighted average purchase price of the Issuer's common stock. The range of sales prices were between $63.42 and $63.60. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full information regarding the number of shares sold at each separate price.
/s/Kathryn H. Shirley, attorney-in-fact for Sean M. Traynor
2021-05-12