AMERISAFE INC — Director's Dealing 2011

Nov 4, 2011

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2011-11-03

Reporting Person: BRADLEY C ALLEN JR (Director, Chairman and CEO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2011-11-03	Common stock, par value $.01	S	10000	$23.56	Disposed	36099	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2011-11-03	Employee Stock Option (right to purchase)	$9.00	M	10000	Disposed	2015-11-17	Common Stock (10000)	Direct

Footnotes

F1: Represents the weighted average selling price of the Issuer's common stock. The range of the sales prices were between $23.50 and $23.85. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer full information regarding the number of shares sold at each separate price.

F2: These options were granted on 11-17-2005 and vested in 5 equal, annual installments, commencing on the first anniversary of the grant date.