-----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, ArdflmmVBGVHLF91r66sNJ7aligk/JYB7IilIGicm2iTRquvg5Tih2roYsxH7m2w K52IXA+L2WMgrHClO6WyTA== 0000783603-08-000118.txt : 20081104 0000783603-08-000118.hdr.sgml : 20081104 20081104095351 ACCESSION NUMBER: 0000783603-08-000118 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081103 FILED AS OF DATE: 20081104 DATE AS OF CHANGE: 20081104 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: GROOT STEVEN L CENTRAL INDEX KEY: 0001201022 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 081159383 BUSINESS ADDRESS: STREET 1: 2775 SANDERS RD CITY: NORTHBROOK STATE: IL ZIP: 60062-6127 BUSINESS PHONE: 8474025000 4 1 form4groot110308_ex.xml X0303 4 2008-11-03 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001201022 GROOT STEVEN L 1 0 0 0 Common stock 2008-11-03 2008-11-03 4 P 0 100 10.24 A 35328 I Owned by K Groot & S Groot, Steven L. Groot Living Trust Common stock 2008-11-03 2008-11-03 4 P 0 500 10.25 A 35828 I Owned by K Groot & S Groot, Steven L. Groot Living Trust Steven Groot 2008-11-03 -----END PRIVACY-ENHANCED MESSAGE-----