-----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, D3+covWD8G/wE/7ESKEGOr/5IG2Q8wtn3JEUXydAmDpTkdXTT3vj6k8gDsI2ivgk Tu62BOcf5kkp81usAGoKIg== 0000904454-06-000033.txt : 20060125 0000904454-06-000033.hdr.sgml : 20060125 20060125112141 ACCESSION NUMBER: 0000904454-06-000033 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051231 FILED AS OF DATE: 20060125 DATE AS OF CHANGE: 20060125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WCAS HEALTHCARE PARTNERS L P CENTRAL INDEX KEY: 0000912951 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12251 FILM NUMBER: 06548426 BUSINESS ADDRESS: STREET 1: 320 PARK AVENUE STREET 2: SUITE 2500 CITY: NEW YORK STATE: NY ZIP: 10022 MAIL ADDRESS: STREET 1: 320 PARK AVENUE STREET 2: SUITE 2500 CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERISAFE INC CENTRAL INDEX KEY: 0001018979 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 752069407 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2301 HIGHWAY 190 WEST CITY: DERIDDER STATE: LA ZIP: 70634 BUSINESS PHONE: 337-463-9052 MAIL ADDRESS: STREET 1: 2301 HIGHWAY 190 WEST CITY: DERIDDER STATE: LA ZIP: 70634 5 1 edgar.xml PRIMARY DOCUMENT X0202 5 2005-12-31 0 1 0001018979 AMERISAFE INC AMSF 0000912951 WCAS HEALTHCARE PARTNERS L P C/O WELSH, CARSON, ANDERSON & STOWE 320 PARK AVENUE, SUITE 2500 NEW YORK NY 10022 0 0 1 0 Common Stock 2005-12-14 4 S 0 L 3486 8.37 D 61020 D /s/ Jonathan M. Rather, Attorney-in-Fact 2006-01-24 -----END PRIVACY-ENHANCED MESSAGE-----