0001140361-12-021875.txt : 20120430
0001140361-12-021875.hdr.sgml : 20120430
20120430142711
ACCESSION NUMBER: 0001140361-12-021875
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120330
FILED AS OF DATE: 20120430
DATE AS OF CHANGE: 20120430
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jain Ambuj
CENTRAL INDEX KEY: 0001548263
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-14795
FILM NUMBER: 12794103
MAIL ADDRESS:
STREET 1: 4737 OUTLOOK WAY
CITY: MARIETTA
STATE: GA
ZIP: 30066
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
3
1
doc1.xml
FORM 3
X0205
3
2012-03-30
0
0000783603
AMERICAN SAFETY INSURANCE HOLDINGS LTD
ASI
0001548263
Jain Ambuj
BOYLE BUILDING, 2ND FLOOR
31 QUEEN STREET
HAMILTON
D0
HM 11
BERMUDA
0
1
0
0
Senior Vice President
Common Stock
1755
D
Common Stock
3791
D
Common Stock
12500
D
Common Stock
2459
D
Common Stock
4032
D
Common Stock
25000
D
Common Stock
4465
D
Stock Option (Right to Buy)
13.77
2009-07-27
2014-07-27
Common Stock
10000
D
Stock Option (Right to Buy)
16.40
2009-03-15
2016-03-15
Common Stock
4000
D
Stock Option (Right to Buy)
19.05
2010-03-15
2017-03-15
Common Stock
4000
D
Stock Option (Right to Buy)
17.95
2011-03-04
2018-03-04
Common Stock
4000
D
Stock Option (Right to Buy)
9.10
2012-03-11
2019-03-11
Common Stock
10342
D
Stock Option (Right to Buy)
14.64
2013-03-05
2020-03-05
Common Stock
6565
D
Restricted Stock Award given on March 4, 2008, pursuant to the Company's 2007 Incentive Compensation Plan, which vests 25% on the first and second anniversary and 50% on the third anniversary of the grant date.
Restricted Stock Award given on March 11, 2009, pursuant to the Company's 2007 Incentive Compensation Plan, which vests 25% on the first and second anniversary and 50% on the third anniversary of the grant date.
Restricted Stock Awards given on March 5, 2010, pursuant to the Company's 2007 Incentive Compensation Plan. Shares cliff vest three years from grant date.
Restricted Stock Award given on March 5, 2010, pursuant to the Company's 2007 Incentive Compensation Plan, which vests 25% on the first and second anniversary and 50% on the third anniversary of the grant date.
Restricted Stock Award given on March 14, 2011, pursuant to the Company's 2007 Incentive Compensation Plan, which vests 25% on the first and second anniversary and 50% on the third anniversary of the grant date.
Restricted Stock Awards given on July 29, 2011, pursuant to the Company's 2007 Incentive Compensation Plan. Shares cliff vest five years from grant date.
Restricted Stock Award given on March 14, 2012, pursuant to the Company's 2007 Incentive Compensation Plan, which vests 25% on the first and second anniversary and 50% on the third anniversary of the grant date.
Options awarded pursuant to the Company's 2007 Incentive Compensation Plan. These options cliff vested at the fifth anniversary of the grant date. The date shown is the date the first vested number of shares became exercisable.
Options awarded pursuant to the Company's 2007 Incentive Compensation Plan. These options have a three year vesting schedule, pursuant to which the shares underlying the options shall vest in one-third increments commencing one year after the grant date. The date shown is the date the first vested number of shares became/becomes exercisable.
Options awarded pursuant to the Company's 2007 Incentive Compensation Plan. These options cliff vested at the third anniversary of the grant date. The date shown is the date the first vested number of shares became exercisable.
Ambuj Jain
2012-03-30