- Current report filing (8-K)
February 09 2010 - 4:18PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of report (Date of earliest event reported): February 4, 2010
AMERISAFE, INC.
(Exact Name of Registrant as
Specified in Charter)
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Texas
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000-51520
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75-2069407
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(State or Other Jurisdiction
of Incorporation)
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(Commission
File Number)
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(IRS Employer
Identification No.)
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2301 Highway 190 West
DeRidder, Louisiana 70634
(Address of Principal
Executive Offices) (Zip Code)
Registrants telephone number, including area code: (337) 463-9052
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the Registrant under
any of the following provisions (
see
General Instruction A.2. below):
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
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Item 5.02.
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Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.
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On February 4, 2010, David O. Narigon submitted his resignation as Executive Vice President, Claims and
Premium Audit of AMERISAFE, Inc. (the Company), stating that he wishes to pursue other business interests. His resignation is effective March 15, 2010. The Company does not currently plan to fill this position. The business
operations reporting to Mr. Narigon will report to Geoffrey R. Banta, the Companys Chief Operating Officer.
The
Company intends to negotiate a separation agreement with Mr. Narigon that will provide for severance substantially on the terms of Mr. Narigons employment agreement with the Company. The terms of Mr. Narigons employment
agreement are described in the Companys definitive proxy statement for its 2009 annual meeting of shareholders, filed with the SEC on April 29, 2009.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf
by the undersigned hereunto duly authorized.
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AMERISAFE, INC.
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By:
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S
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ODD
W
ALKER
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Todd Walker, Executive Vice President,
General Counsel and Secretary
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Date: February 9, 2010
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