-----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, GnH6GCD7jF2boexUyJYG1BL6OUnj28zDHiK2IS4tYWrC9czoaY9bwdLtKBUmnCAn JDOybWMzOzCKEjHKWbApbA== 0000783603-05-000110.txt : 20051118 0000783603-05-000110.hdr.sgml : 20051118 20051118111942 ACCESSION NUMBER: 0000783603-05-000110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051118 FILED AS OF DATE: 20051118 DATE AS OF CHANGE: 20051118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TREADWAY FREDERICK C CENTRAL INDEX KEY: 0001244819 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 051214338 BUSINESS ADDRESS: BUSINESS PHONE: (441) 295-5688 MAIL ADDRESS: STREET 1: 44 CHURCH STREET 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 treadway1118_ex.xml X0202 4 2005-11-18 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD C3CC@CCC 0001244819 TREADWAY FREDERICK C 9406PROMONTORY CIRCLE INDIANAPOLIS IN 46236 0 0 1 0 Share Options 2005-11-18 2005-11-18 4 M 0 5800 6.00 A 196489 D Comon Shares 2005-11-17 2005-11-17 4 S 0 5800 16.75 D 190689 D Frederick C. Treadway - By Power of Attorney 2005-11-18 -----END PRIVACY-ENHANCED MESSAGE-----