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