0001140361-13-014269.txt : 20130328
0001140361-13-014269.hdr.sgml : 20130328
20130328083004
ACCESSION NUMBER: 0001140361-13-014269
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130308
FILED AS OF DATE: 20130328
DATE AS OF CHANGE: 20130328
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HAUSHILL MARK W
CENTRAL INDEX KEY: 0001211319
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-14795
FILM NUMBER: 13721682
MAIL ADDRESS:
STREET 1: 10101 REUNION PLACE
STREET 2: SUITE 500
CITY: SAN ANTONIO
STATE: TX
ZIP: 78216
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
2013-03-08
0
0000783603
AMERICAN SAFETY INSURANCE HOLDINGS LTD
ASI
0001211319
HAUSHILL MARK W
BOYLE BUILDING, 2ND FLOOR
31 QUEEN STREET
HAMILTON
D0
HM 11
BERMUDA
0
1
0
0
CFO
Common Stock
2013-03-08
4
A
0
4543
23.19
A
72851
D
Common Stock
2013-03-15
4
A
0
29500
25.67
A
102351
D
Restricted Stock Award pursuant to the Company's 2007 Long-Term Incentive Compensation Plan, which vests 25% on the first and second anniversary and 50% on the third anniversary of the grant date.
Performance Based Restricted Stock Award pursuant to the Company's 2007 Long-Term Incentive Compensation Plan, which vests 50% on 12/31/16 and the remaining 50% on 12/31/17 or, will vest at 100% upon an earlier change in control.
Original grant of 12,500 Performance Based Restricted Stock Award on 3/5/2010. Based on performance, 6,250 shares cliff vested on 3/5/2013.
Mark W. Haushill
2013-03-28