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AMERISAFE INC Director's Dealing 2016

May 25, 2016

32379_dirs_2016-05-25_a7bdbd05-9f71-4ab3-b2ef-68a771e1c724.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: 2016-05-25

Reporting Person: Gagliano Vincent J. (EVP - Chief Risk Officer)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2016-05-25 Common stock, par value $0.01 A 469 $0.00 Acquired 23974 Direct

Footnotes

F1: Shares issued for the 2013-2015 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 25, 2016 in accordance with the terms of the Plan the related award agreement.