Sec. Doc

-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NK+DfW3WlZPih7TyDZ603NhamyAVcDQAYR6BvfkAw/XAVrbL9UW93zvXcyhXdYS4 EiQ/E9DVLCxTQJh1YF6mhQ== 0001162044-03-000217.txt : 20031104 0001162044-03-000217.hdr.sgml : 20031104 20031104150121 ACCESSION NUMBER: 0001162044-03-000217 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20031104 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: WALSH DENNIS N CENTRAL INDEX KEY: 0001268930 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: 588 WASHBURN RD CITY: TALMADGE STATE: OH ZIP: 44278 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN SAFETY INSURANCE HOLDINGS LTD CENTRAL INDEX KEY: 0000783603 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-55381 FILM NUMBER: 03975952 BUSINESS ADDRESS: STREET 1: 44 CHURCH STREET CITY: HAMILTON STATE: D0 ZIP: HM HX BUSINESS PHONE: 4412968560 MAIL ADDRESS: STREET 1: 44 CHURCH STREET CITY: HAMILTON STATE: D0 ZIP: HM HX FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN SAFETY INSURANCE GROUP LTD DATE OF NAME CHANGE: 19971218 SC 13G 1 f600h01.htm Sec. Doc

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934

(Amendment No. )*

American Safety Insurance Holdings, Ltd.

(Name of Issuer)

Common Stock, $.01 par value

(Title of Class of Securities)

G02995101

(CUSIP Number)

February 20, 1998

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

[ ]

Rule 13d-1(b)

[ X ]

Rule 13d-1(c)

[ ]

Rule 13d-1(d)

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

(Continued on following page(s))

Page # of 5 Pages

NAME OF REPORTING PERSON

S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS

Dennis N. Walsh

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ] (b) [ ]

(See Instructions)

N/A

SEC USE ONLY

CITIZENSHIP OR PLACE OF ORGANIZATION

USA

SOLE VOTING POWER

NUMBER OF

301,969*

------------------------------------------------------------------------

BENEFICIALLY

OWNED BY

SHARED VOTING POWER

EACH

REPORTING

------------------------------------------------------------------------

PERSON

WITH

SOLE DISPOSITIVE POWER

301,969*

------------------------------------------------------------------------

SHARED DISPOSITIVE POWER

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING

PERSON

301,969*

10.

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES

CERTAIN SHARES

[ ]

N/A

11.

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

6.4%

12.

TYPE OF REPORTING PERSON

______________________________________________________________________________

*Note: Includes 270,005 shares owned by Walsh R. E., Ltd., an Ohio limited liability company, as to which Mr. Walsh may be deemed to exercise sole voting and dispositive power by virtue of his serving as President of such entity.

Page # of 5 Pages

*SEE INSTRUCTIONS BEFORE FILLING OUT!

Item

1(a)

Name of Issuer:

American Safety Insurance Holdings, Ltd.

1(b)

Address of Issuer’s Principal Executive Office:

44 Church Street

P.O. Box HM2064

Hamilton HM HX, Bermuda

2(a)

Name of Person Filing:

Dennis N. Walsh

2(b)

Address of Principal Business Office or, if none, Residence:

588 Washburn Rd.

Talmadge, OH 44278

2(c)

Citizenship:

USA

2(d)

Title of Class of Securities:

Common Stock, $.01 par value.

2(e)

CUSIP No.:

G02995101

Type of Person Filing:

N/A

Ownership:

(a)

Amount Beneficially Owned: 301,969*

(b)

Percent of Class: 6.4%

(c)

Number of shares to which the person has:

(i) sole power to vote or to direct the vote:

301,969*

(ii) shared power to vote or to direct the vote:

(iii) sole power to dispose or to direct the deposition of:

301,969*

(iv) shared power to dispose or to direct the disposition of : 0

Ownership of 5% or less of class:

[ ]

Ownership of more than 5% on behalf of another person:

N/A

Identification and classification of the subsidiary which acquired the security being reported by the parent holding company:

N/A

Identification and classification of members of the group:

N/A

Notice of dissolution of group:

N/A

10.

Certification:

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this Schedule 13G is true, complete and correct.

Date: November 4, 2003

By:___/s/Dennis N. Walsh____

Dennis N. Walsh

Page # of 5 Pages

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