0001140361-13-016345.txt : 20130412 0001140361-13-016345.hdr.sgml : 20130412 20130412154218 ACCESSION NUMBER: 0001140361-13-016345 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130320 FILED AS OF DATE: 20130412 DATE AS OF CHANGE: 20130412 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: 13758676 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 2013-03-20 0 0000783603 AMERICAN SAFETY INSURANCE HOLDINGS LTD ASI 0001244782 BIRDWELL CODY W BOYLE BUILDING, 2ND FLOOR 31 QUEEN STREET HAMILTON D0 HM II BERMUDA 1 0 0 0 Common Stock 2013-03-20 4 G 0 17971 25.56 D 95933 D Common Stock 2013-03-20 4 G 0 17971 25.56 A 116221 I Shares owned by the Cody Birdwell Family Limited Partnership Transferred 17,971 common stock to the Cody Birdwell Family Limited Partnership. Cody W. Birdwell 2013-04-12