0001140361-18-014367.txt : 20180320 0001140361-18-014367.hdr.sgml : 20180320 20180320210018 ACCESSION NUMBER: 0001140361-18-014367 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180316 FILED AS OF DATE: 20180320 DATE AS OF CHANGE: 20180320 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRADLEY C ALLEN JR CENTRAL INDEX KEY: 0001341775 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38422 FILM NUMBER: 18703184 MAIL ADDRESS: STREET 1: AMERISAFE INC STREET 2: 2301 HIGHWAY 190 WEST CITY: DERIDDER STATE: LA ZIP: 70634 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tiberius Acquisition Corp CENTRAL INDEX KEY: 0001662253 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 810824240 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3601 N INTERSTATE 10 SERVICE RD W CITY: METAIRIE STATE: LA ZIP: 70002 BUSINESS PHONE: 504-881-1060 MAIL ADDRESS: STREET 1: 3601 N INTERSTATE 10 SERVICE RD W CITY: METAIRIE STATE: LA ZIP: 70002 4 1 form4.xml FORM 4 X0306 4 2018-03-16 0001662253 Tiberius Acquisition Corp TIBRU 0001341775 BRADLEY C ALLEN JR 3601 N INTERSTATE 10 SERVICE RD W METAIRIE LA 70002 true Common Stock 2018-03-16 4 P 0 25000 10 A 40000 D /s/ C. Allen Bradley Jr. 2018-03-20