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AMERISAFE INC — Director's Dealing 2011
May 19, 2011
32379_dirs_2011-05-19_26a7288e-9fcd-4587-8488-99281dab6c1f.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2011-05-17
Reporting Person: BANTA GEOFFREY R (President and COO)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2011-05-17 | Common Stock, par value $.01 | M | 5000 | $9.00 | Acquired | 5000 | Direct |
| 2011-05-17 | Common Stock, par value $.01 | S | 5000 | $22.25 | Disposed | 0 | Direct |
| 2011-05-18 | Common Stock, par value $.01 | M | 5000 | $9.00 | Acquired | 5000 | Direct |
| 2011-05-18 | Common Stock, par value $.01 | S | 5000 | $22.28 | Disposed | 0 | Direct |
| 2011-05-19 | Common Stock, par value $.01 | M | 5000 | $9.00 | Acquired | 5000 | Direct |
| 2011-05-19 | Common Stock, par value $.01 | S | 2500 | $22.57 | Disposed | 2500 | Direct |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2011-05-17 | Employee Stock Option (right to buy) | $9.00 | M | 5000 | Disposed | 2015-11-17 | Common Stock, par value $.01 (5000) | Direct |
| 2011-05-18 | Employee Stock Option (right to buy) | $9.00 | M | 5000 | Disposed | 2015-11-17 | Common Stock (5000) | Direct |
| 2011-05-19 | Employee Stock Option (right to buy) | $9.00 | M | 5000 | Disposed | 2015-11-17 | Common Stock (5000) | Direct |
Footnotes
F1: The price shown is a weighted average price. The shares were sold at prices ranging from $22.25 to $22.29.
F2: The price shown is a weighted average price. The shares were sold at prices ranging from $22.25 to $22.32.
F3: The price shown is a weighted average price. The shares were sold at prices ranging from $22.50 to $22.65.