0001140361-18-013744.txt : 20180315 0001140361-18-013744.hdr.sgml : 20180315 20180315204022 ACCESSION NUMBER: 0001140361-18-013744 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180315 FILED AS OF DATE: 20180315 DATE AS OF CHANGE: 20180315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRADLEY C ALLEN JR CENTRAL INDEX KEY: 0001341775 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38422 FILM NUMBER: 18693983 MAIL ADDRESS: STREET 1: AMERISAFE INC STREET 2: 2301 HIGHWAY 190 WEST CITY: DERIDDER STATE: LA ZIP: 70634 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tiberius Acquisition Corp CENTRAL INDEX KEY: 0001662253 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 810824240 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3601 N INTERSTATE 10 SERVICE RD W CITY: METAIRIE STATE: LA ZIP: 70002 BUSINESS PHONE: 504-881-1060 MAIL ADDRESS: STREET 1: 3601 N INTERSTATE 10 SERVICE RD W CITY: METAIRIE STATE: LA ZIP: 70002 3 1 form3.xml FORM 3 X0206 3 2018-03-15 0 0001662253 Tiberius Acquisition Corp TIBR 0001341775 BRADLEY C ALLEN JR 3601 N INTERSTATE 10 SERVICE RD W METAIRIE LA 70002 true Common Stock, par value $0.0001 15000 D /s/ C. Allen Bradley Jr. 2018-03-15