0001140361-12-015845.txt : 20120315
0001140361-12-015845.hdr.sgml : 20120315
20120315152632
ACCESSION NUMBER: 0001140361-12-015845
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120314
FILED AS OF DATE: 20120315
DATE AS OF CHANGE: 20120315
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: 12693799
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
2012-03-14
0
0000783603
AMERICAN SAFETY INSURANCE HOLDINGS LTD
ASI
0001211319
HAUSHILL MARK W
BOYLE BUILDING, 2ND FLOOR
31 QUEEN STREET
HAMILTON
D0
HM II
BERMUDA
0
1
0
0
CFO
Common Stock
2012-03-14
4
A
0
5694
18.50
A
74558
D
Restricted Stock Award pursuant to Company's 2007 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.
Mark W. Haushill
2012-03-15