Neal A. Fuller - 19 May 2022 Form 4 Insider Report for AMERISAFE INC (AMSF)

Reporting relationship: EVP-CFO
Issuer ticker: AMSF
Reported as of: 19 May 2022
Net transaction value: -$257,388
SEC form: 4
Accepted by SEC: 23 May 2022, 18:24:15 UTC
Prior SEC filing: 19 May 2021
Source filing: View source filing
Reporting owner signature: /s/Kathryn H. Shirley, attorney-in-fact for Neal A. Fuller

Key filing fact

Neal A. Fuller filed Form 4 for AMERISAFE INC (AMSF) on 23 May 2022.

Key facts

This page summarizes Neal A. Fuller's Form 4 filing for AMERISAFE INC (AMSF).
2 reported transactions and 0 derivative rows are listed below.
Accepted by SEC: 23 May 2022, 18:24.

Change

Previous filing in this sequence was filed on 19 May 2021.
Current net transaction value: -$257,388.

Research use

This tells you what this filing adds before you inspect full transaction and derivative tables.
You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

AMSF transaction

Common stock, par value $0.01

Award

Transaction value: $0
Shares: +6,675
Change %: +34%
Price: $0.000000
Shares after: 26,127
Date: 19 May 2022
Ownership: Direct
Footnotes: F1

AMSF transaction

Common stock, par value $0.01

Sale

Transaction value: $257,388
Shares: -5,340
Change %: -20%
Price: $48.20
Shares after: 20,787
Date: 23 May 2022
Ownership: Direct
Footnotes: F2, F3

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote F1

Shares issued for the 2019-2021 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, 2022 in accordance with the terms of the Plan and the related award agreement.

Footnote F2

The shares were sold primarily to pay required withholding taxes associated with the shares awarded under the related award agreement.

Footnote F3

Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $48.05 and $48.47. 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.