AMERISAFE INC — Director's Dealing 2012

Jun 18, 2012

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2012-06-15

Reporting Person: Morris Millard E (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2012-06-15	Common Stock, par value $0.01	A	1119	—	Acquired	6916	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock, par value $0.01	94219	Indirect

Footnotes

F1: Subject to restrictions that will lapse at the time of the Issuer's 2013 annual shareholder meeting.

F2: Includes a decrease of one share of common stock that was unintentionally included in Mr. M. Millard's Form 4 filed on August 4, 2011