0001140361-12-015850.txt : 20120315 0001140361-12-015850.hdr.sgml : 20120315 20120315153243 ACCESSION NUMBER: 0001140361-12-015850 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: CRIM STEPHEN R CENTRAL INDEX KEY: 0001244806 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14795 FILM NUMBER: 12693833 MAIL ADDRESS: STREET 1: 44 CHURCH ST STREET 2: P O BOX HM2064 CITY: HAMILTON STATE: D0 ZIP: 99999 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 0001244806 CRIM STEPHEN R BOYLE BUILDING, 2ND FLOOR 31 QUEEN STREET HAMILTON D0 HM II BERMUDA 0 1 0 0 CEO Common Stock 2012-03-14 4 A 0 9514 18.50 A 208421 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. Stephen R. Crim 2012-03-15