-----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, P+EaSQqEU+cAaNZWae5Qp0fmvDW/sT80cpxLGzFv4B2KKXK81VLHQDnwmTghNCAT yzHF7w+EMnwC0pbrvCSHog== 0000783603-09-000088.txt : 20090909 0000783603-09-000088.hdr.sgml : 20090909 20090909162515 ACCESSION NUMBER: 0000783603-09-000088 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090908 FILED AS OF DATE: 20090909 DATE AS OF CHANGE: 20090909 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAUSHILL MARK W CENTRAL INDEX KEY: 0001211319 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 091060819 MAIL ADDRESS: STREET 1: 10101 REUNION PLACE STREET 2: SUITE 500 CITY: SAN ANTONIO STATE: TX ZIP: 78216 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 form3haushill20090909_ex.xml X0203 3 2009-09-08 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001211319 HAUSHILL MARK W 10101 REUNION PLACE SUITE 500 SAN ANTONIO TX 78216 0 1 0 0 CFO Stock Option 16.07 2014-09-08 2019-09-08 Common Stock 20000 D Options awarded pursuant to the Company's 2007 Incentive Stock Option Plan. These options have a five-year cliff vesting schedule. Mark Haushill 2009-09-09 -----END PRIVACY-ENHANCED MESSAGE-----