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AMERISAFE INC Director's Dealing 2015

Nov 12, 2015

32379_dirs_2015-11-12_b2b21b02-dd9b-4012-873c-39ae9f38119a.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: 2015-11-09

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

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2015-11-09 Common Stock, par value $0.01 A 435 $0.00 Acquired 21791 Direct
2015-11-09 Common Stock, par value $0.01 D 435 $54.00 Disposed 21356 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2015-11-09 Employee Stock Option (right to purchase) $15.60 S 435 Disposed 2019-08-07 Common stock, par value $0.01 per share (435) Direct