0001140361-12-041866.txt : 20120928
0001140361-12-041866.hdr.sgml : 20120928
20120928144130
ACCESSION NUMBER: 0001140361-12-041866
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120723
FILED AS OF DATE: 20120928
DATE AS OF CHANGE: 20120928
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BIRDWELL CODY W
CENTRAL INDEX KEY: 0001244782
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-14795
FILM NUMBER: 121116155
MAIL ADDRESS:
STREET 1: 100 GALLERIA PARKWAY, SE
STREET 2: SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30339
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
X0306
4
2012-07-23
0
0000783603
AMERICAN SAFETY INSURANCE HOLDINGS LTD
ASI
0001244782
BIRDWELL CODY W
BOYLE BUILDING, 2ND FLOOR
31 QUEEN STREET
HAMILTON
D0
HM 11
BERMUDA
1
0
0
0
Common Stock
2012-07-23
2012-07-23
4
A
0
3053
18.01
A
113904
D
Common Stock
98250
I
Shares owned by the Cody Birdwell Family Limited Partnership
Shares issued under the Director Compensation Policy. Per the policy, shares will be held in escrow until the 2013 Shareholders meeting.
Cody W. Birdwell
2012-09-28