-----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, Bs47bAbCk2G3h7D3WPW7bJOR1c92krlmLaAnHm+LL7hfIEttQ+uVskpMGeGNA3ab IVWFmQVXsoGSE8fv/J94IQ== 0000783603-05-000068.txt : 20050915 0000783603-05-000068.hdr.sgml : 20050915 20050915102434 ACCESSION NUMBER: 0000783603-05-000068 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050915 FILED AS OF DATE: 20050915 DATE AS OF CHANGE: 20050915 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: 051085785 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 mueller91505_ex.xml X0202 4 2005-09-15 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 2005-09-12 2005-09-12 4 D 0 4500 17.8809 D 97460 D Common Shares 2005-09-13 2005-09-13 4 D 0 8000 17.827 D 89460 D Shares Held By Market Street Reality Thomas W. Mueller by Power of Attorney 2005-09-15 -----END PRIVACY-ENHANCED MESSAGE-----