AMERISAFE INC — Director's Dealing 2015

Nov 24, 2015

SEC Form 4/A — Form 4/A

Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2015-11-02

Reporting Person: Gau Brendan (Exec.VP & Chief Investment Of.)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2015-11-02	Common stock, par value $0.01	M	5763	$15.60	Acquired	27119	Direct
2015-11-02	Common stock, par value $0.01	S	5763	$54.56	Disposed	21356	Direct
2015-11-03	Common stock, par value $0.01	M	2910	$15.60	Acquired	24266	Direct
2015-11-03	Common stock, par value $0.01	S	2910	$54.03	Disposed	21356	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2015-11-02	Employee Stock Option (right to purchase)	$15.60	M	5763	Disposed	2019-08-07	Common stock, par value $0.01 per share (5763)	Direct
2015-11-03	Employee Stock Option (right to purchase)	$15.60	M	2910	Disposed	2019-08-07	Common stock, par value $0.01 per share (2910)	Direct

Footnotes

F1: Amendment filed to 1) correct transaction codes and 2) include the correct acquisition price of securities in Table I.

F2: Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $54.50 and $54.82. 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.

F3: Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $54.00 and $54.12. 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.

F4: The stock options became exercisable in five equal installments beginning on August 7, 2010, which was the first anniversary of the grant date.