AMERISAFE INC — Director's Dealing 2021

May 19, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: AMERISAFE INC (AMSF)
CIK: 0001018979
Period of Report: 2021-05-17

Reporting Person: Fuller Neal Andrew (EVP-CFO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-05-17	Common stock, par value $0.01	A	4550	$0.00	Acquired	21727	Direct
2021-05-19	Common stock, par value $0.01	S	2275	$64.37	Disposed	19452	Direct

Footnotes

F1: Shares issued for the 2018-2020 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 17, 2021 in accordance with the terms of the Plan and the related award agreement.

F2: The shares were sold pursuant to the Reporting Person's 10b5-1 plan primarily to pay required withholding taxes associated with the shares awarded under the related award agreement.

F3: Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $64.00 and $64.60. 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.