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AMERISAFE INC — Director's Dealing 2011
May 16, 2011
32379_dirs_2011-05-16_0eb4dd57-6030-40c9-ac32-21fccfb513be.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: 2011-05-13
Reporting Person: BANTA GEOFFREY R (President & COO)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2011-05-13 | Common Stock, par value $.01 | S | 4818 | $22.57 | Disposed | 0 | Direct |
Holdings (Derivative)
| Security | Exercise Price | Expiration | Underlying | Shares | Ownership |
|---|---|---|---|---|---|
| Option (right to purchase) | $9.00 | 2015-11-17 | Common Stock, par value $.01 (118750) | 118750 | Direct |
Footnotes
F1: This price is a weighted average. Sales were made at various prices ranging from $22.51 to $22.61.
F2: Since the date of his last report Mr. Banta transferred 4,817 shares of common stock, par value $.01, and 118,750 options to purchase common stock, par value $.01, at a strike price of $9.00 to his ex-spouse pursuant to a domestic relations order. He does not report any of the shares or options so transferred to his ex-spouse as being beneficially held.