X0306 4 2017-03-07 0 0001018979 AMERISAFE INC AMSF 0001570960 Gagliano Vincent J. 2301 HIGHWAY 190 WEST DERIDDER LA 70634 0 1 0 0 EVP - Chief Risk Officer Common stock, par value $0.01 2017-03-07 4 S 0 325 64.16 D 21159 D Represents restricted shares that fully vested on March 5, 2017. The shares were sold to cover taxes. Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $64.15 and $64.20. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full information regarding the number of shares sold at each separate price. /s/Vincent J. Gagliano 2017-03-08