0001140361-11-038691.txt : 20110801 0001140361-11-038691.hdr.sgml : 20110801 20110801142152 ACCESSION NUMBER: 0001140361-11-038691 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110801 FILED AS OF DATE: 20110801 DATE AS OF CHANGE: 20110801 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: 111000104 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 X0304 4 2011-08-01 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 2011-07-29 2011-07-29 4 A 0 50000 18.75 A 63644 D Restricted Stock Awards pursuant to the Company's 2008 Long-Term Incentive Compensation Plan. Shares cliff vest five years from grant date. Mark W. Haushill 2011-08-01