-----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, P1q+S/88rEbzXm8GvP/Ro9bDpFH9NdDZe/ebx46IH5NuGD9xBaycJH4qfgqOapEf 0w1LV442yCVA9vFBZXk4OQ== 0000783603-08-000124.txt : 20081114 0000783603-08-000124.hdr.sgml : 20081114 20081114140725 ACCESSION NUMBER: 0000783603-08-000124 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081114 FILED AS OF DATE: 20081114 DATE AS OF CHANGE: 20081114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUEGGEN DAVID V CENTRAL INDEX KEY: 0001244805 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 081189687 MAIL ADDRESS: STREET 1: BRUEGGEN DAVID V STREET 2: 44 CHURCH ST CITY: P O BOX HM2064 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 form4brueggen20081114_ex.xml X0303 4 2008-11-14 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244805 BRUEGGEN DAVID V BRUEGGEN DAVID V 44 CHURCH ST P O BOX HM2064 D0 99999 BERMUDA 1 0 0 0 Common Stock 2008-11-12 2008-11-12 4 P 0 1000 8.84 A 16608 D Common Stock 2008-11-12 2008-11-12 4 P 0 400 8.81 A 17008 D Comon Stock 2008-11-12 2008-11-12 4 P 0 600 8.83 A 17608 D David V. Brueggen 2008-11-14 -----END PRIVACY-ENHANCED MESSAGE-----