0001140361-12-024156.txt : 20120510
0001140361-12-024156.hdr.sgml : 20120510
20120510102831
ACCESSION NUMBER: 0001140361-12-024156
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120509
FILED AS OF DATE: 20120510
DATE AS OF CHANGE: 20120510
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: 12828204
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
X0305
4
2012-05-09
0
0000783603
AMERICAN SAFETY INSURANCE HOLDINGS LTD
ASI
0001244815
SCOLLO JOSEPH D
BOYLE BUIDLING, 2ND FLOOR
31 QUEEN STREET
HAMILTON
D0
HM 11
BERMUDA
0
1
0
0
COO
Common Stock
2012-05-09
4
S
0
2250
18.41
D
146654
D
Joseph D. Scollo, Jr.
2012-05-09