-----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, VJLGrF9//YZ7hI9IsO4xN4x/7L/Jig9PZa4iPmoNq/d6poKUDCmFiib32U4cPTNJ 5/fBooO4/OD3Knu+NtFaFg== 0000783603-08-000007.txt : 20080204 0000783603-08-000007.hdr.sgml : 20080204 20080204104705 ACCESSION NUMBER: 0000783603-08-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080131 FILED AS OF DATE: 20080204 DATE AS OF CHANGE: 20080204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CRIM STEPHEN R CENTRAL INDEX KEY: 0001244806 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 08570805 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 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: 31 QUEENS STREET STREET 2: 2ND FLOOR CITY: HAMILTON STATE: D0 ZIP: HM 11 BUSINESS PHONE: 441-296-8560 MAIL ADDRESS: STREET 1: 31 QUEENS STREET STREET 2: 2ND FLOOR CITY: HAMILTON STATE: D0 ZIP: HM 11 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN SAFETY INSURANCE GROUP LTD DATE OF NAME CHANGE: 19971218 4 1 crim4-options_ex.xml X0202 4 2008-01-31 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244806 CRIM STEPHEN R 804 CHESWICK COURT MARIETTA GA 30067 1 1 0 0 CEO/President Common Stock 2008-01-31 4 F 0 14345 19.17 D 69139 I See Footnote 1 Common Stock 2008-01-31 4 M 0 25000 11.00 A 26430 D Stock Options 11.00 2008-01-31 4 M 0 25000 11.00 D 2001-02-12 2008-02-12 Common Stock 25000 223000 D Includes 68,995 shares of common stock owned by his spouse (post-transaction) and 144 shares of common stock held of record as custodian for a child. Stephen R. Crim 2008-02-04 -----END PRIVACY-ENHANCED MESSAGE-----