-----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, F8ZeqrXgF8RAQC4jnD/x9lUD/RqIk0/HO7NfIxPksmKGHTf9GKKhN1LUKI9IRXaC ap3IVAVm+1R/Wjjva4bsxg== 0000783603-08-000053.txt : 20080325 0000783603-08-000053.hdr.sgml : 20080325 20080325153713 ACCESSION NUMBER: 0000783603-08-000053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080304 FILED AS OF DATE: 20080325 DATE AS OF CHANGE: 20080325 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: William Clarence Tepe CENTRAL INDEX KEY: 0001345760 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 08709344 BUSINESS ADDRESS: STREET 1: 1845 THE EXCHANGE CITY: ATLANTA STATE: 2Q ZIP: 30102 BUSINESS PHONE: 770-485-4373 MAIL ADDRESS: STREET 1: 1845 THE EXCHANGE CITY: ATLANTA STATE: 2Q ZIP: 30102 4 1 tepe-ltip030408_ex.xml X0202 4 2008-03-04 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001345760 William Clarence Tepe C/O AMERICAN SAFETY INSURANCE 100 GALLERIA PKWY., #700 ATLANTA GA 30339 0 1 0 0 CFO/Treasurer Common Stock 2008-03-04 4 A 0 2632 0 A 2632 D Common Stock 4500 D Stock Options (right to buy) 17.95 2008-03-04 4 A 0 11766 0 A 2011-03-04 2018-03-04 Common Stock 11766 11766 D Stock Options (right to buy) 17.95 2009-03-04 2018-03-04 Common Stock 7500 7500 D Stock Options (right to buy) 19.05 2008-03-15 2017-03-15 Common Stock 7500 7500 D Stock Options (right to buy) 16.18 2010-11-14 2015-11-14 Common Stock 25000 25000 D Restricted Stock Awards pursuant to the Company's 2008 Long-Term Incentive Compensation Plan, which vest 25% on the first and second anniversary of the date of grant and 50% on the third anniversary of the date of grant. The options are performance stock options. The options vest on the third anniversary of the date of grant based on the achievement of established three year growth and profitability targets. 100% of the options listed above will vest if a performance level equal to 120% of the established targets is achieved. Achievement of performance levels between 80% and 120% of target results in vesting of a reduced percentage of the options based on a sliding scale. None of the options will vest if a performance level of less than 80% of the targets is achieved. These options have a three-year vesting schedule, pursuant to which the shares underlying the options shall vest in one-third increments commencing one year after the date of grant. The date shown is the date the first vested number of shares becomes/became exercisable. These options cliff vest on the fifth anniversary of the date of grant. William C. Tepe 2008-03-25 -----END PRIVACY-ENHANCED MESSAGE-----