0001209191-22-027586.txt : 20220506
0001209191-22-027586.hdr.sgml : 20220506
20220506161627
ACCESSION NUMBER: 0001209191-22-027586
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220505
FILED AS OF DATE: 20220506
DATE AS OF CHANGE: 20220506
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McCray Andrew B.
CENTRAL INDEX KEY: 0001777423
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12251
FILM NUMBER: 22901270
MAIL ADDRESS:
STREET 1: 2301 HIGHWAY 27
CITY: DERIDDER
STATE: LA
ZIP: 70634
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
2022-05-05
0
0001018979
AMERISAFE INC
AMSF
0001777423
McCray Andrew B.
2301 HIGHWAY 190 WEST
DERIDDER
LA
70634
0
1
0
0
EVP-CUO
Common stock, par value $0.01
2022-05-05
4
P
0
200
46.87
A
8199
D
/s/Andrew B. McCray
2022-05-06