-----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, G3bIKgXtq/+9njjXJaB52UBW4FLRwwZaGBnatFOyvLbndFXbMuR5EyqXFBf/TQMR ukjjuPfORb3X+yPL7EMs7A== 0000783603-05-000023.txt : 20050128 0000783603-05-000023.hdr.sgml : 20050128 20050128090611 ACCESSION NUMBER: 0000783603-05-000023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040719 FILED AS OF DATE: 20050128 DATE AS OF CHANGE: 20050128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MUELLER THOMAS W CENTRAL INDEX KEY: 0001244812 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 05555747 BUSINESS ADDRESS: BUSINESS PHONE: 441 295 5688 MAIL ADDRESS: STREET 1: 44 CHURCH ST STREET 2: P O BOX HM2064 CITY: HAMILTON STATE: D0 ZIP: 99999 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN SAFETY INSURANCE HOLDINGS LTD CENTRAL INDEX KEY: 0000783603 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 44 CHURCH STREET CITY: HAMILTON STATE: D0 ZIP: HM HX BUSINESS PHONE: 4412968560 MAIL ADDRESS: STREET 1: 44 CHURCH STREET CITY: HAMILTON STATE: D0 ZIP: HM HX FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN SAFETY INSURANCE GROUP LTD DATE OF NAME CHANGE: 19971218 4 1 mueller_ex.xml X0202 4 2004-07-19 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244812 MUELLER THOMAS W 1300 WEST MAIN STREET LOUISVILLE KY 40203 1 0 0 0 Common Shares 2004-07-19 2004-07-19 4 A 0 1750 8.57 A 5604 D Common Shares 2004-11-19 2004-11-19 4 S 0 3900 15.18 D 178845 I See ftn Common Shares 2004-11-22 2004-11-22 4 S 0 10000 15.10 D 168845 I See ftn Common Shares 2004-11-24 2004-11-24 4 S 0 3500 15.11 D 165345 I See ftn Common Shares 2004-11-26 2004-11-26 4 S 0 2600 15.15 D 162745 I See ftn as trustee of Mark C. Mueller Trust Thomas W. Mueller by power-of-attorney 2005-01-27 -----END PRIVACY-ENHANCED MESSAGE-----