-----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, R+YpdfAKFCn+nTWVELwpC9nPWvJHtVgjn1021eZFHT4Z9WMLJmbwnR4OixwbuQ3D zoqy+BJI6qPtUcN4kxe5+w== 0001140361-09-021007.txt : 20090916 0001140361-09-021007.hdr.sgml : 20090916 20090916154840 ACCESSION NUMBER: 0001140361-09-021007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090916 FILED AS OF DATE: 20090916 DATE AS OF CHANGE: 20090916 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GROOT STEVEN L CENTRAL INDEX KEY: 0001201022 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 091072134 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 doc1.xml FORM 4 X0303 4 2009-09-16 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001201022 GROOT STEVEN L C/O AMERICAN SAFETY INSURANCE THE BOYLE BUILDING, 2ND FLOOR, 31 QUEEN HAMILTON D0 HM 11 BERMUDA 1 0 0 0 Common Stock 2009-09-16 2009-09-16 4 D 0 2709 14.77 A 37937 I Owned by the Steven L. Groot Living Trust Common Stock 600 D Steven L. Groot 2009-09-16 -----END PRIVACY-ENHANCED MESSAGE-----