-----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, CTaKmy/UXKldTgDT6fhfGp+/b28gkd8EipgFy9pMMuiT7Kkv2focvSzwer5PFpKz SJXv1XwYt8rIpC99nlCLKw== 0000783603-06-000042.txt : 20060711 0000783603-06-000042.hdr.sgml : 20060711 20060711161524 ACCESSION NUMBER: 0000783603-06-000042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060627 FILED AS OF DATE: 20060711 DATE AS OF CHANGE: 20060711 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: MAULDIN WILLIAM O CENTRAL INDEX KEY: 0001244810 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 06956359 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 4 1 mauldin711_ex.xml X0202 4 2006-06-27 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244810 MAULDIN WILLIAM O 417 WEST MILL SPRINGFIELD MO 65801-0968 1 0 0 0 Common Shares 2006-06-27 2006-06-27 4 A 0 1975 15.50 A 11676 D Common Shares 226074 I See Footnote (1) ARI Incorporated William O Mauldin - By Power of Attorney 2006-07-11 -----END PRIVACY-ENHANCED MESSAGE-----