0001140361-13-002211.txt : 20130116
0001140361-13-002211.hdr.sgml : 20130116
20130116113712
ACCESSION NUMBER: 0001140361-13-002211
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130115
FILED AS OF DATE: 20130116
DATE AS OF CHANGE: 20130116
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: 13531888
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
X0306
4
2013-01-15
0
0000783603
AMERICAN SAFETY INSURANCE HOLDINGS LTD
ASI
0001244806
CRIM STEPHEN R
BOYLE BUILDING, 2ND FLOOR
31 QUEEN STREET
HAMILTON
D0
HM 11
BERMUDA
1
1
0
0
CEO
COMMON STOCK
2013-01-15
4
M
0
12000
6.75
A
266951
D
COMMON STOCK
38995
I
Shares owned by spouse.
COMMON STOCK
1569
I
Shares held as custodian for children.
STOCK OPTIONS
6.75
2013-01-15
4
M
0
12000
6.75
D
2008-01-30
2013-01-30
COMMON STOCK
12000
188616
D
Stephen R. Crim
2013-01-15