-----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, G/MTWu1Wc8RiOFtH/yEVoaOhuL3t7E+bUw5MbEYfF8znh3FlifuTuPo8HtNCX1gN wXj8GPqxcvrdd3je1qA0eA== 0001140361-10-010740.txt : 20100309 0001140361-10-010740.hdr.sgml : 20100309 20100309110203 ACCESSION NUMBER: 0001140361-10-010740 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100305 FILED AS OF DATE: 20100309 DATE AS OF CHANGE: 20100309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAUSHILL MARK W CENTRAL INDEX KEY: 0001211319 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 10665741 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 4 1 doc1.xml FORM 4 X0303 4 2010-03-05 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001211319 HAUSHILL MARK W 44 CHURCH STREET P.O. BOX HM2064 HAMILTON D0 HM 11 BERMUDA 0 1 0 0 CFO Common Stock 2010-03-05 4 A 0 1144 14.64 A 1144 D Stock Option (Right to Buy) 14.64 2010-03-05 2010-03-05 4 A 0 3051 14.64 A 2011-03-05 2020-03-05 Common Stock 3051 23051 D Restricted Stock Award pursuant to Company's 2008 Long-Term Incentive Compensation Plan, which vests 25% on the first and second anniversary of the grant date and 50% on the third anniversary of the grant date. Options awarded pursuant to the Company's 2007 Incentive Stock Option Plan. These options have a three-year vesting schedule, pursuant to which the shares underlying the options vest in one-third increments commencing one year after the grant date. The date shown is the date the first vested portion of shares become exercisable. Mark W. Haushill 2010-03-09 -----END PRIVACY-ENHANCED MESSAGE-----