0001140361-13-024383.txt : 20130606
0001140361-13-024383.hdr.sgml : 20130606
20130606152908
ACCESSION NUMBER: 0001140361-13-024383
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130604
FILED AS OF DATE: 20130606
DATE AS OF CHANGE: 20130606
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
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: 13897212
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
4
1
doc1.xml
FORM 4
X0306
4
2013-06-04
0
0000783603
AMERICAN SAFETY INSURANCE HOLDINGS LTD
ASI
0001244815
SCOLLO JOSEPH D
BOYLE BUILDING, 2ND FLOOR
31 QUEEN STREET
HAMILTON
D0
HM 11
BERMUDA
0
1
0
0
COO
Common Stock
2013-06-04
4
M
0
50000
8.57
A
108592
D
Common Stock
2013-06-04
4
F
0
14817
28.92
D
93775
D
Stock Option - Right to Buy
8.57
2013-06-04
4
M
0
50000
8.57
D
2003-06-19
2013-06-19
Common Stock
50000
0
D
Stock Option - Right to Buy
13.67
2004-01-21
2014-01-21
Common Stock
12000
12000
D
Stock Option - Right to Buy
16.40
2006-03-15
2016-03-15
Common Stock
7500
7500
D
Stock Option - Right to Buy
19.05
2007-03-15
2017-03-15
Common Stock
7500
7500
D
Stock Option - Right to Buy
17.95
2008-03-04
2018-03-04
Common Stock
14446
14446
D
Stock Option - Right to Buy
9.10
2009-03-11
2019-03-11
Common Stock
23712
23712
D
Stock Option - Right to Buy
14.64
2010-03-05
2020-03-05
Common Stock
14857
14857
D
Surrendered 14,817 shares @ $28.92 per share to pay exercise price of options @ $8.57 per share.
Joseph D. Scollo, Jr.
2013-06-06