0001140361-11-053925.txt : 20111116
0001140361-11-053925.hdr.sgml : 20111116
20111116164255
ACCESSION NUMBER: 0001140361-11-053925
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111115
FILED AS OF DATE: 20111116
DATE AS OF CHANGE: 20111116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SCOLLO JOSEPH D
CENTRAL INDEX KEY: 0001244815
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-14795
FILM NUMBER: 111210433
MAIL ADDRESS:
STREET 1: 44 CHURCH STREET
STREET 2: P O BOX HM2064
CITY: HAMILTON
STATE: D0
ZIP: 99999
FORMER NAME:
FORMER CONFORMED NAME: SCOLLO JOSEPH D JR
DATE OF NAME CHANGE: 20030620
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
2011-11-15
0
0000783603
AMERICAN SAFETY INSURANCE HOLDINGS LTD
ASI
0001244815
SCOLLO JOSEPH D
31 CHURCH STREET
2ND FLOOR
HAMILTON
D0
HM 11
BERMUDA
0
1
0
0
Executive Vice President & COO
Common Stock
2011-11-15
4
F
0
5031
21.11
D
119401
D
Common Stock
2011-11-15
4
M
0
12000
8.85
A
131401
D
Joseph D. Scollo
2011-11-16