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Form 3 - Initial statement of beneficial ownership of securities:
SEC Accession No. 0001209191-05-058065
Filing Date
2005-11-17
Accepted
2005-11-17 16:22:24
Documents
2
Period of Report
2005-11-17

Document Format Files

Seq Description Document Type Size
1 FORM 3 SUBMISSION doc3.html 3  
1 FORM 3 SUBMISSION doc3.xml 3 2266
2 POA DOCUMENT poa.txt EX-24.3_109049 2723
  Complete submission text file 0001209191-05-058065.txt   6782
Mailing Address 2301 HIGHWAY 190 WEST DERIDDER LA 70634
Business Address 2301 HIGHWAY 190 WEST DERIDDER LA 70634 337-463-9052
AMERISAFE INC (Issuer) CIK: 0001018979 (see all company filings)

IRS No.: 752069407 | State of Incorp.: TX | Fiscal Year End: 1231
SIC: 6331 Fire, Marine & Casualty Insurance

Mailing Address AMERISAFE INC 2301 HIGHWAY 190 WEST DERIDDER LA 70634
Business Address 337-463-9052
LEACH CRAIG P (Reporting) CIK: 0001342814 (see all company filings)

Type: 3 | Act: 34 | File No.: 001-12251 | Film No.: 051212939