X0306
4
2020-06-05
0
0001018979
AMERISAFE INC
AMSF
0001391169
Roach Randy
2301 HIGHWAY 190 WEST
DERIDDER
LA
70634
1
0
0
0
Common stock, par value $0.01
2020-06-05
4
A
0
724
0.00
A
9461
D
Subject to restrictions that will lapse at the time of the Issuer's 2021 annual meeting of shareholders.
/s/Kathryn H. Shirley, attorney-in-fact for Randall Roach
2020-06-08