-----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, KcKgEDIWZX9UeyKRw/2tqKfyHraBosYoEx8/EdW1tvBzqs5exVVGC7XNWO3UX5h7 sFFyZ2MsLmDK0x+Ts0QUiw== 0000783603-07-000063.txt : 20070629 0000783603-07-000063.hdr.sgml : 20070629 20070629131147 ACCESSION NUMBER: 0000783603-07-000063 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: WEAVER JEROME D CENTRAL INDEX KEY: 0001244817 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 07949686 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 weaver629_ex.xml X0202 4 2007-06-29 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244817 WEAVER JEROME D 302 SOUTH STATE AVENUE - 2ND FLOOR INDIANAPOLIS IN 46201 1 0 0 0 Common Shares 3 I See Footnote (1) Common Shares 2007-06-27 2007-06-27 4 A 0 1847 16.24 A 8688 D Recored shares owned by spouse Jerome D. Weaver 2007-06-29 -----END PRIVACY-ENHANCED MESSAGE-----