AMERISAFE INC — Director's Dealing 2019

Mar 5, 2019

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2019-03-04

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

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2019-03-04	Common stock, par value $0.01	M	5000	$3.95	Acquired	21929	Direct
2019-03-04	Common stock, par value $0.01	S	5000	$61.29	Disposed	16929	Direct
2019-03-04	Common stock, par value $0.01	S	744	$61.29	Disposed	16185	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2019-03-04	Employee Stock Option (right to pruchase)	$3.95	M	5000	Disposed	2019-11-09	Common stock (5000)	Direct

Footnotes

F1: The shares were sold pursuant to the Reporting Person's 10b5-1 plan.

F2: Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $61.04 and $62.13. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full information regarding the number of shares sold at each separate price.

F3: The shares were sold pursuant to the Reporting Person's 10b5-1 plan for restricted stock that fully vested March 1, 2019.