Anastasios Omiridis - 29 Aug 2025 Form 4 Insider Report for AMERISAFE INC (AMSF)

Role
EVP-CFO
Signature
/s/ Anastasios Omiridis
Issuer symbol
AMSF
Transactions as of
29 Aug 2025
Net transactions value
-$82,985
Form type
4
Filing time
02 Sep 2025, 16:22:58 UTC
Previous filing
06 Aug 2025
Next filing
10 Nov 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Omiridis Anastasios EVP-CFO 2301 HIGHWAY 190 WEST, DERIDDER /s/ Anastasios Omiridis 03 Sep 2025 0001789494

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction AMSF Common stock Options Exercise +4,565 +203% 6,818 29 Aug 2025 Direct F1
transaction AMSF Common stock Tax liability $82,985 -1,797 -26% $46.18 5,021 29 Aug 2025 Direct

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction AMSF Restricted Stock Units Options Exercise $0 -4,565 -19% $0.000000 18,922 29 Aug 2025 Common Stock 4,565 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Restricted stock units convert into common stock on a one-for-one basis.
F2 On September 1, 2022, the reporting person was granted 22,826 restricted stock units, vesting in four annual installments of 35%, 15%, 20%, and 30% beginning on September 1, 2023, the first anniversary of the grant date.