AMERISAFE INC — Director's Dealing 2008

Dec 9, 2008

144 1 d144.htm FORM 144 Form 144

| UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM
144 | | OMB APPROVAL — OMB Number: | 3235-0101 |
| --- | --- | --- | --- |
| | | Expires: | December 31, 2008 |
| | | Estimated average burden | |
| | | hours per response | 2.0 |
| NOTICE OF PROPOSED SALE OF
SECURITIES PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933 | | SEC USE ONLY | |
| | | DOCUMENT SEQUENCE NO. | |
| ATTENTION: Transmit for filing 3 copies
of this form concurrently with either placing an order with a broker to execute sale or executing a sale directly with a market maker | | CUSIP NUMBER | |
| | | WORK LOCATION | |
| 1 (a) NAME OF ISSUER (Please type or print) AMERISAFE, Inc. | (b) IRS IDENT. NO. 75-2069407 | (c) S.E.C. FILE NO. 000-51520 | |

1(d) ADDRESS OF ISSUER	(e) TELEPHONE NO.
2301 Highway 190 West, DeRidder, Louisiana 70634	AREA CODE	NUMBER
	337	463-9052

2 (a) NAME OF PERSON FOR WHOSE ACCOUNT THE SECURITIES ARE TO BE SOLD	(c) RELATIONSHIP TO ISSUER	(d) ADDRESS
C. Allen Bradley, Jr.	Officer	2301 Highway 190 West, DeRidder, Louisiana 70634

INSTRUCTION: The person filing this notice should contact the issuer to obtain the I.R.S. Identification Number and the S.E.C. File Number.

3 (a)	(b)	SEC USE ONLY	(c)	(d)	(e)	(f)	(g)
Title of the Class of Securities To Be Sold	Name and Address of Each Broker Through Whom the Securities are to be Offered or Each Market Maker who is Acquiring the Securities	Broker-Dealer File Number	Number of Shares or Other Units To Be
Sold (See Instr. 3(c))	Aggregate Market Value (See Instr. 3(d))	Number of Shares or Other Units Outstandin g (See Instr. 3(e))	Approximat e Date of Sale (See Instr. 3(f)) (MO. DAY YR.)	Name of Each Securities Exchange (See Instr. 3(g))
Common stock, par value $.01	Folio fn Investments, Inc. PO Box 953625 St. Louis, MO 63195		3,000	$55,170 as of December 5, 2008	18,841,306	On or after December 9, 2008	NASDAQ Stock Market
Common stock, par value $.01	Edward Jones 1887 Highway 190 West DeRidder, LA
70634		197	$3,623 as of December 5, 2008	18,841,306	On or after December 9, 2008	NASDAQ Stock Market

Potential persons who are to respond to the collection of information contained in this form are not

required to respond unless the form displays a currently valid OMB control number.

INSTRUCTIONS:

1.	(a)	Name of issuer
	(b)	Issuer’s I.R.S. Identification Number
	(c)	Issuer’s S.E.C. file number, if any
	(d) (e)	Issuer’s address, including zip code Issuer’s
telephone number, including area code
2.	(a)	Name of person for whose account the securities are to be sold
	(b)	Such person’s I.R.S. identification number, if such person is an entity
	(c)	Such person’s relationship to the issuer (e.g., officer, director, 10% stockholder, or member of immediate family of any of the foregoing)
	(d)	Such person’s address, including zip code
3.	(a)	Title of the class of securities to be sold
	(b)	Name and address of each broker through whom the securities are intended to be sold
	(c)	Number of shares or other units to be sold (if debt securities, give the aggregate face amount)
	(d)	Aggregate market value of the securities to be sold as of a specified date within 10 days prior to the filing of this notice
	(e)	Number of shares or other units of the class outstanding, or if debt securities the face amount thereof outstanding, as shown by the most
recent report or statement published by the issuer Approximate date on which the securities are to be sold
	(f)
	(g)	Name of each securities exchange, if any, on which the securities are intended to be sold

TABLE I—SECURITIES TO BE SOLD

Furnish the following information with respect to the acquisition of the securities to be sold

and with respect to the payment of all or any part of the purchase price or other consideration therefor:

Title of the Class	Date you Acquired	Nature of Acquisition Transaction	Name of Person from Whom Acquired (If gift, also give date donor acquired)	Amount of Securities Acquired	Date of Payment	Nature of Payment
Common Stock, par value $.01	09/02/1997	Private purchase.	AMERISAFE, Inc.	197 shares	09/02/1997	Cash
Common Stock, par value $.01	11/17/2005	Purchased in IPO.	AMERISAFE, Inc.	3,000 shares	11/17/2005	Cash

INSTRUCTIONS:
2. If within two years after the acquisition of the securities the person for whose account
they are to be sold had any short positions, put or other option to dispose of securities referred to in paragraph (d)(3) of Rule 144, furnish full information with respect thereto.

TABLE II—SECURITIES SOLD DURING THE PAST 3 MONTHS Furnish the following information as to all securities of the issuer sold during the past 3 months by the person for whose account the securities are to be sold. — Name and Address of Seller	Title of Securities Sold	Date of Sale	Amount of Securities Sold	Gross Proceeds

REMARKS:

| INSTRUCTIONS: See the definition of
“person” in paragraph (a) of Rule 144. Information is to be given not only as to the person for whose account the securities are to be sold but also as to all other persons included in that definition. In addition, information shall be
given as to sales by all persons whose sales are required by paragraph (e) of Rule 144 to be aggregated with sales for the account of the person filing this notice. | ATTENTION: The person for whose account the
securities to which this notice relates are to be sold hereby represents by signing this notice that he does not know any material adverse information in regard to the current and prospective operations of the Issuer of the securities to be sold
which has not been publicly disclosed. |
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| December 9, 2008 DATE OF NOTICE | /s/ C. Allen Bradley, Jr. (SIGNATURE) |

The notice shall be signed by the person for whose account the securities are to be sold. At least one copy of the notice shall be manually signed.

Any copies not manually signed shall bear typed or printed signatures.

ATTENTION: Intentional misstatements or omission of facts constitute Federal Criminal Violations (See 18 U.S.C. 1001)