-----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, KVWHRR/HecOcThk82SeEG7hBc/Y7gcc9vGfss2Jgsih1yzV/6dCaT89cS7fzhQVw 50A5SEp+9bC8CnovrFDRbw== 0000783603-09-000019.txt : 20090306 0000783603-09-000019.hdr.sgml : 20090306 20090306153427 ACCESSION NUMBER: 0000783603-09-000019 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090304 FILED AS OF DATE: 20090306 DATE AS OF CHANGE: 20090306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CRIM STEPHEN R CENTRAL INDEX KEY: 0001244806 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 09662624 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/A 1 crim20090304form4a_ex.xml X0303 4/A 2009-03-04 2009-03-06 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244806 CRIM STEPHEN R 44 CHURCH ST P O BOX HM2064 HAMILTON D0 99999 BERMUDA 1 1 0 0 CEO/President Common Stock (Restricted Stock Award) 2009-03-04 2009-03-04 4 A 0 1170 9.28 A 39073 D Common Stock (Restricted Stock Award) 2009-03-04 2009-03-04 4 A 0 452 9.28 D 38621 D Restricted Stock Award dated 03/04/2008 for 4680 shares will vest over three years (25%-25%-50%). 452 shares surrendered @ $ 9.28 per share for withholdings on 1,170 shares vested (net award of 718 shares). Stephen R. Crim 2009-03-06 -----END PRIVACY-ENHANCED MESSAGE-----