-----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, AzxmbRlRK38nutBC5jK3axn7+TzOoNhxhTyPTr2voQAfg5O/kFOwjNyFLz6v1mo5 z+clDicVYOf90wdoX+6RvQ== 0000783603-06-000053.txt : 20060717 0000783603-06-000053.hdr.sgml : 20060717 20060717151244 ACCESSION NUMBER: 0000783603-06-000053 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: William Clarence Tepe CENTRAL INDEX KEY: 0001345760 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 06964808 BUSINESS ADDRESS: STREET 1: 1845 THE EXCHANGE CITY: ATLANTA STATE: 2Q ZIP: 30102 BUSINESS PHONE: 770-485-4373 MAIL ADDRESS: STREET 1: 1845 THE EXCHANGE CITY: ATLANTA STATE: 2Q ZIP: 30102 4/A 1 tepe4a_ex.xml X0202 4/A 2006-07-17 2005-11-14 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001345760 William Clarence Tepe 1845 THE EXCHANGE ATLANTA GA 30102 0 1 0 0 Chief Financial Officer Share Options (to buy) 16.18 2005-11-14 2005-11-14 4 A 0 25000 16.18 A 2010-11-14 2015-11-14 ASI 25000 0 D The reporting person was granted options to purchase Common Shares, which vest 100% on November 14, 2010. William C. Tepe 2006-07-17 -----END PRIVACY-ENHANCED MESSAGE-----