-----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, UNHEWwx6y+/+IY9pvqA/9JuK9dqF3Xzd0QEceHYQtkexLGEaPWrMO30TtFLdTIi/ 3FU3D7Nqdc4LMNF7sLFIgQ== 0000783603-09-000083.txt : 20090831 0000783603-09-000083.hdr.sgml : 20090831 20090831163833 ACCESSION NUMBER: 0000783603-09-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090831 FILED AS OF DATE: 20090831 DATE AS OF CHANGE: 20090831 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEAVER JEROME D CENTRAL INDEX KEY: 0001244817 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 091046415 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 1 form4weaver20090831_ex.xml X0303 4 2009-08-31 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244817 WEAVER JEROME D 44 CHURCH ST P O BOX HM2064 HAMILTON D0 99999 BERMUDA 1 0 0 0 Common Stock 2009-08-31 2009-08-31 4 A 0 2709 14.77 A 13005 D Common Stock 3 I See footnote #1 Owned by spouse Jerome D. Weaver 2009-08-31 -----END PRIVACY-ENHANCED MESSAGE-----