-----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, LSNe6un3+8YN5NmzKXGz+2FD2WejDymzZrKH6GejcyfDEd2bW0gub2fS6Er1F6iX ez+7HFk8x1KFyayyWKdEVQ== 0001181431-10-038058.txt : 20100720 0001181431-10-038058.hdr.sgml : 20100720 20100720194603 ACCESSION NUMBER: 0001181431-10-038058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20100720 FILED AS OF DATE: 20100720 DATE AS OF CHANGE: 20100720 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEACH CRAIG P CENTRAL INDEX KEY: 0001342814 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12251 FILM NUMBER: 10961362 MAIL ADDRESS: STREET 1: AMERISAFE INC STREET 2: 2301 HIGHWAY 190 WEST CITY: DERIDDER STATE: LA ZIP: 70634 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 4 1 rrd281646.xml 20100720LEACHFORM4 X0303 4 2010-07-20 0 0001018979 AMERISAFE INC AMSF 0001342814 LEACH CRAIG P AMERISAFE, INC. 2301 HIGHWAY 190 WEST DERIDDER LA 70634 0 1 0 0 EVP, Sales and Marketing Common Stock, par value $.01 2010-07-20 4 M 0 163 9.00 A 6161 D Common Stock, par value $.01 2010-07-20 4 S 0 163 17.75 D 5998 D Option (right to buy) 9.00 2010-07-20 4 M 0 163 0 D 2015-11-17 Common Stock, $.01 par value 163 133765 D Transaction completed pursuant to 10b5-1 Plan executed while officer was not in possession of material non-public information Of the 133,928 options to purchase common stock, par value $.01, 86,428 have vested. The remaining 47,500 options vest November 17, 2010. /s/Todd Walker, attorney in fact for Craig P. Leach 2010-07-20 EX-24.1 2 rrd252385_284783.htm POWER OF ATTORNEY OF CRAIG P. LEACH rrd252385_284783.html
POWER OF ATTORNEY

	The undersigned hereby constitutes and appoints each of Todd Walker, Percy McCraney, Dayna
Edwards, Larry D. Cannon, Wendy W. Walton and James D. Litton, or any of them, signing singly, the
undersigned's true and lawful attorney-in-fact to:

(1)	execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or
director of AMERISAFE, Inc. (the "Company"), Forms 3, 4, or 5 in accordance with Section
16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

(2)	do and perform any and all acts for and on behalf of the undersigned that may be necessary or
desirable to complete and execute any such Form 3, 4, or 5 and timely file any such form or
forms with the United States Securities and Exchange Commission and any stock exchange or
similar authority; and

(3)	take any other action of any type whatsoever in connection with the foregoing that, in the
opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required
by the undersigned, it being understood that the documents executed by such attorney-in-fact
on behalf of the undersigned pursuant to this power of attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-
fact's sole discretion.

The undersigned hereby grants to each such attorney-in-fact and any of them full power and
authority to do and perform any and every act and deed whatsoever requisite, necessary, or proper
to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and
purposes as the undersigned might or could do if personally present, with full power of substitution
or revocation, hereby ratifying and confirming all that any such attorney-in-fact, or any such
attorney-in-fact's substitute or substitutes shall lawfully do or cause to be done by virtue of this
power of attorney and the rights and powers herein granted.  The undersigned acknowledges that
none of the foregoing attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are assuming, nor is the Company assuming, any of the undersigned's responsibilities
to comply with Section 16 of the Securities Exchange Act of 1934.

	The execution by the undersigned of this power of attorney hereby expressly revokes and
terminates any powers of attorney previously granted by the undersigned relating to Forms 3, 4,
and 5 with respect to the undersigned's holdings of and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing
attorneys-in-fact.

	IN WITNESS WHEREOF, the undersigned has caused this power of attorney to be
executed as of September 1, 2006.



						/s/ Craig P. Leach________________________
						Craig P. Leach

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