-----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, UQK3177Urwt4kdoPLzlA+fJaeFVBeZfzUq5P47aD+OGavHFby//lae69snJ71/HI YJ1XLksy7z6FEccA+V8AbA== 0000783603-05-000066.txt : 20050907 0000783603-05-000066.hdr.sgml : 20050907 20050907103338 ACCESSION NUMBER: 0000783603-05-000066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050818 FILED AS OF DATE: 20050907 DATE AS OF CHANGE: 20050907 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBBIE WILLIAM A CENTRAL INDEX KEY: 0001241511 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 051071890 BUSINESS ADDRESS: STREET 1: BELVEDERE BLDG 2ND FL STREET 2: 69 PITTS BAY RD CITY: PEMBROKE BERMUDA STATE: D0 ZIP: HM 08 BUSINESS PHONE: 4412980751 MAIL ADDRESS: STREET 1: BELVEDERE BLDG 2ND FL. STREET 2: 69 PITTS BAY RD CITY: PEMBROKE BERMUDA STATE: D0 ZIP: HM 08 4 1 robbie_ex.xml X0202 4 2005-08-18 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001241511 ROBBIE WILLIAM A 34 SOUTHGATE ROAD AVON CT 06001 1 0 0 0 Common Shares 2005-08-18 4 A 0 521 15.76 A 3521 D William A. Robbie - By Power of Attorney 2005-09-07 -----END PRIVACY-ENHANCED MESSAGE-----