-----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, OmN0GxcSSrbi7ydyan1XV7bHtKZ8TYc/JMnplKG8LrPK376RyoSEggLgrUZI6bbH BRCCuXjCMD7xd6aDg4j2Bw== 0000783603-07-000062.txt : 20070629 0000783603-07-000062.hdr.sgml : 20070629 20070629130750 ACCESSION NUMBER: 0000783603-07-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070629 FILED AS OF DATE: 20070629 DATE AS OF CHANGE: 20070629 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: MUELLER THOMAS W CENTRAL INDEX KEY: 0001244812 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 07949671 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 mueller629_ex.xml X0202 4 2007-06-29 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244812 MUELLER THOMAS W 1300 WEST MAIN STREET LOUISVILLE KY 40203 1 0 0 0 Common Shares 162745 I See Footnote (1) Common Shares 160000 I See Footnote (2) Common Shares 2007-06-27 2007-06-27 4 A 0 1847 16.24 A 10469 D As Trustee of Mark C. Mueller Trust Shares held by Thomas W. Mueller Trust Thomas W. Mueller 2007-06-29 -----END PRIVACY-ENHANCED MESSAGE-----