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AMERISAFE INC Director's Dealing 2015

May 18, 2015

32379_dirs_2015-05-18_31ca6dd4-9695-4020-8902-8ac9f10066c2.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: 2015-05-14

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

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2015-05-14 Common stock, par value $0.01 A 5956 $0.00 Acquired 147818 Direct

Footnotes

F1: Shares issued for the 2012-2014 performance period under an award agreement between the reporting person and the Company pursuant to the Company's Equity and Incentive Compensation Plan. The awards were determined by the Compensation Committee of the Board of Directors of the Company on May 14, 2015 in accordance with the terms of the Plan and the related award agreement.