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AMERISAFE INC Director's Dealing 2013

Mar 8, 2013

32379_dirs_2013-03-08_89ea5187-9d55-4eb8-8a7d-c5e83cf8ec1e.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: 2013-03-05

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

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2013-03-05 Common stock, par value $.01 M 10000 $9.00 Acquired 78537 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2013-03-05 Employee Stock Option (right to purchase) $9 M 10000 Disposed 2015-11-17 Common Stock (10000) Direct

Footnotes

F1: These options were granted on 11/17/2005 and vested in five, equal installments, commencing on the first anniversary of the grant date.