AMERISAFE INC — Director's Dealing 2017

May 23, 2017

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2017-05-19

Reporting Person: Frost G. Janelle (Director, President & CEO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2017-05-19	Common Stock, par value $0.01	A	1267	$0.00	Acquired	56050	Direct

Footnotes

F1: Shares issued for the 2014-2016 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 19, 2017 in accordance with the terms of the Plan and the related award agreement.