AMERISAFE INC — Director's Dealing 2005

Nov 23, 2005

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2005-11-23

Reporting Person: BANTA GEOFFREY R (Executive Vice President & CFO)

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2005-11-23	Employee Stock Option (right to buy)	$9.00	A	237500	Acquired	2015-11-17	Common Stock, par value $.01 per share (237500)	Direct

Footnotes

F1: The option vests in five equal installments on November 17, 2006, 2007, 2008, 2009 and 2010.