-----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, K8PDbZto9kDroeqniVdCqghJvyXokt1kz8E9IU6c1qi/bxTIqx0/CUWZhVEUplBm T5wqMpZK8uZ981wRfkOkIg== 0000783603-07-000008.txt : 20070308 0000783603-07-000008.hdr.sgml : 20070308 20070308090018 ACCESSION NUMBER: 0000783603-07-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070306 FILED AS OF DATE: 20070308 DATE AS OF CHANGE: 20070308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GROOT STEVEN L CENTRAL INDEX KEY: 0001201022 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 07679424 BUSINESS ADDRESS: STREET 1: 2775 SANDERS RD CITY: NORTHBROOK STATE: IL ZIP: 60062-6127 BUSINESS PHONE: 8474025000 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 groota_ex.xml X0202 4 2007-03-06 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001201022 GROOT STEVEN L 22 HALLBRAITH COURT NORTH BARRINGTON IL 60010 1 0 0 0 Common Shares 2007-03-06 2007-03-06 4 A 0 5000 18.96 A 13000 D Steven L. Groot 2007-03-08 -----END PRIVACY-ENHANCED MESSAGE-----