AMERISAFE INC — Director's Dealing 2005

Nov 17, 2005

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2005-11-17

Reporting Person: MINICUCCI ROBERT A (10% Owner)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	200731	Indirect
Series A Preferred Stock	744379	Indirect
Common Stock	121	Direct
Series A Preferred Stock	446	Direct

Footnotes

F1: The Reporting Person is a general partner of the sole general partner of Welsh, Carson, Anderson & Stowe VII, L.P. Pursuant to Instruction (5)(b)(iv) of Form 3, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities beneficially owned by such entity. The Reporting Person disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein, and/or that are not actually distributed to him.