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AMERISAFE INC Director's Dealing 2013

Dec 10, 2013

32379_dirs_2013-12-10_7402d517-b39d-41dc-92db-d821b2d8e08d.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: 2013-12-09

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

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2013-12-09 Common Stock, par value $0.01 M 7500 $9 Acquired 99559 Direct
2013-12-09 Common Stock, par value $0.01 S 4338 $43.22 Disposed 95221 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2013-12-09 Employee Stock Option (right to purchase) $9 M 7500 Disposed 2015-11-17 Common Stock (7500) Direct

Footnotes

F1: Transaction completed pursuant to 10b5-1 plan executed while officer was not in possession of material non-public information.

F2: Represents the weighted average selling price of the Issuer's common stock. The range of the sales prices were between $42.50 and $43.89. 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.