-----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, H55re+W1ozwJ07O2oGDwaweZlav44BNLh5T5wAeqmqmCRVHmOVcDZHZiQor9IoO2 YqrN0fA90pzOByhB4I7tjw== 0000783603-06-000052.txt : 20060717 0000783603-06-000052.hdr.sgml : 20060717 20060717151029 ACCESSION NUMBER: 0000783603-06-000052 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060717 FILED AS OF DATE: 20060717 DATE AS OF CHANGE: 20060717 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: MATHIS STEVEN B CENTRAL INDEX KEY: 0001244809 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 06964797 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/A 1 mathis4a_ex.xml X0202 4/A 2006-07-17 2006-03-31 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244809 MATHIS STEVEN B 1801 URQUART MARIETTA GA 30068 0 1 0 0 Treasurer Common Shares 1250 D Share Options (to buy) 16.40 2006-03-15 2006-03-15 4 A 0 3000 16.40 A 2007-03-15 2016-03-15 ASI 3000 3000 D Share Options (to buy) 16.72 2006-09-22 2015-09-22 ASI 5000 5000 D Share Options (to buy) 13.67 2005-01-21 2014-01-21 ASI 9000 9000 D Share Options (to buy) 8.57 2008-06-19 2013-06-19 ASI 15000 15000 D Share Options (to buy) 6.75 2006-01-30 2013-01-30 ASI 8000 8000 D Share Options (to buy) 8.85 2005-01-18 2012-01-18 ASI 7000 7000 D Share Options (to buy) 6.00 2003-06-23 2010-06-23 ASI 7000 7000 D Share Options ( to buy) 9.50 2002-02-12 2009-02-12 ASI 7500 7500 D Share Options (to but) 11.00 2001-02-12 2008-02-12 ASI 7500 7500 D Options vest equally over a three year period begining on the anniversary date of the date of grant. Options vest 100% on June 19, 2008. Steven B. Mathis 2006-07-17 -----END PRIVACY-ENHANCED MESSAGE-----