-----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, KayO/KMIt2PDkwYIgi5CU9Oc15RScbvt9TZgNwF4ZvUlJ7kHDPmrQgqIbdgs5JQs DdvOjzMdyXUpzt/T2GKa8A== 0000783603-09-000040.txt : 20090410 0000783603-09-000040.hdr.sgml : 20090410 20090410114826 ACCESSION NUMBER: 0000783603-09-000040 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090331 FILED AS OF DATE: 20090410 DATE AS OF CHANGE: 20090410 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ervin Laura Lynne CENTRAL INDEX KEY: 0001461540 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 09744583 MAIL ADDRESS: STREET 1: 188 COVERED BRIDGE TRAIL SW CITY: SMYRNA STATE: GA ZIP: 30082 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 3 1 form3ervin20090410_ex.xml X0203 3 2009-03-31 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001461540 Ervin Laura Lynne 188 COVERED BRIDGE TRAIL SW SMYRNA GA 30082 0 1 0 0 CFO Common Stock (Restricted Stock Award) 159 D Common Stock (Restricted Stock Award) 1033 D Common Stock (Restricted Stock Award) 2038 D Stock Option (Right To Buy) 19.68 2012-12-17 2017-12-17 Common Stock 3000 D Stock Option (Right To Buy) 17.95 2009-03-04 2018-03-04 Common Stock 1000 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. 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. 258.25 shares vested on 03/04/2009. 99 shares were surrendered to the Company at $9.28 per share for withholdings on 258.25 shares vested (159 net shares). 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. Laura Ervin 2009-04-10 -----END PRIVACY-ENHANCED MESSAGE-----