-----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, TuibvxzGZc/PEt9XVRWbogdOzcX8FeRTYFVX1ibbx/T39CDHGbCNhfIkK3ZJSWNk AR3gJNuSEGCJBkGEoxKCuw== 0000783603-07-000049.txt : 20070604 0000783603-07-000049.hdr.sgml : 20070604 20070604100408 ACCESSION NUMBER: 0000783603-07-000049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070531 FILED AS OF DATE: 20070604 DATE AS OF CHANGE: 20070604 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 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 07895958 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 mathis0604_ex.xml X0202 4 2007-05-31 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244809 MATHIS STEVEN B 1801 URQUART MARIETTA GA 30068 0 0 0 1 Former Treasurer Common Stock 2007-05-31 4 S 0 900 21.30 D 1250 D Common Stock 2007-06-01 4 S 0 8189 21.31 D 1250 D Stock Options 16.40 2007-05-31 4 X 0 900 21.30 D 2007-05-23 2016-03-15 Common Stock 900 8189 D Stock Options 16.40 2007-06-01 4 X 0 1189 21.31 D 2007-05-23 2016-03-15 Common Stock 1189 7000 D Stock Options 16.72 2007-06-01 4 X 0 5000 21.31 D 2007-05-10 2015-09-22 Common Stock 5000 2000 D Stock Options 19.05 2007-06-01 4 X 0 2000 21.31 D 2007-05-10 2017-03-15 Common Stock 2000 0 D Steven B. Mathis 2007-06-04 -----END PRIVACY-ENHANCED MESSAGE-----