Anastasios Omiridis - 01 Sep 2023 Form 4 Insider Report for AMERISAFE INC (AMSF)

Role: EVP-CFO
Signature: /s/Anastasios Omiridis
Issuer symbol: AMSF
Transactions as of: 01 Sep 2023
Net transactions value: -$164,557
Form type: 4
Filing time: 06 Sep 2023, 16:16:03 UTC
Previous filing: 03 Mar 2023
Next filing: 11 Sep 2023
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	AMSF	Common stock	Options Exercise		+7,989			7,989	01 Sep 2023	Direct	F1
transaction	AMSF	Common stock	Tax liability	$164,557	-3,144	-39%	$52.34	4,845	01 Sep 2023	Direct

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	AMSF	Restricted Stock Units	Options Exercise	$0	-7,989	-33%	$0.000000	16,333	01 Sep 2023	Common stock	7,989		Direct	F1, F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Restricted stock units convert into common stock on a one-for-one basis.
F2	On September 1, 2022, the reporting person was granted 22,826 restricted stock units, vesting in four annual installments of 35%, 15%, 20% and 30% beginning September 1, 2023, the first anniversary of the grant date.