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AMERISAFE INC Director's Dealing 2015

Nov 13, 2015

32379_dirs_2015-11-13_8794a97e-03e8-42ee-936e-1ff147654ef9.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: 2015-11-11

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

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2015-11-11 Common stock, par value $0.01 M 1798 $15.60 Acquired 23154 Direct
2015-11-11 Common stock, par value $0.01 S 1798 $54.00 Disposed 21356 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2015-11-11 Employee Stock Option (right to purchase) $15.60 M 1798 Disposed 2019-08-07 Common stock, par value $0.01 per share (1798) Direct

Footnotes

F1: The stock options became exercisable in five equal annual installments beginning on August 7, 2010, which was the first anniversary of the grant date.