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AMERISAFE INC Director's Dealing 2013

Dec 5, 2013

32379_dirs_2013-12-05_b65ba665-b762-4fcd-93d4-edc45d2ea012.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: 2013-12-04

Reporting Person: Frost G. Janelle (President & COO)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2013-12-04 Common Stock, par value $0.01 M 10000 $9 Acquired 42674 Direct
2013-12-04 Common Stock, par value $0.01 S 5240 $42.52 Disposed 37434 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2013-12-04 Employee Stock Option (right to purchase) $9 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 sales prices were between $42.32 and $43.15. 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.