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Amerisafe Inc. – ‘8-K’ for 8/19/22

On:  Thursday, 8/25/22, at 8:16am ET   ·   For:  8/19/22   ·   Accession #:  1193125-22-229287   ·   File #:  1-12251

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 8/25/22  Amerisafe Inc.                    8-K:5,9     8/19/22   12:304K                                   Donnelley … Solutions/FA

Current Report   —   Form 8-K

Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 8-K         Current Report                                      HTML     28K 
 2: EX-10.1     Material Contract                                   HTML    105K 
 3: EX-10.2     Material Contract                                   HTML     27K 
 7: R1          Document and Entity Information                     HTML     46K 
10: XML         IDEA XML File -- Filing Summary                      XML     12K 
 8: XML         XBRL Instance -- d394488d8k_htm                      XML     13K 
 9: EXCEL       IDEA Workbook of Financial Reports                  XLSX      8K 
 5: EX-101.LAB  XBRL Labels -- amsf-20220819_lab                     XML     53K 
 6: EX-101.PRE  XBRL Presentations -- amsf-20220819_pre              XML     34K 
 4: EX-101.SCH  XBRL Schema -- amsf-20220819                         XSD     12K 
11: JSON        XBRL Instance as JSON Data -- MetaLinks               11±    18K 
12: ZIP         XBRL Zipped Folder -- 0001193125-22-229287-xbrl      Zip     45K 


‘8-K’   —   Current Report


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 iX: 
  8-K  
 i AMERISAFE INC  i false  i 0001018979 0001018979 2022-08-19 2022-08-19

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM  i 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):  i August 19, 2022

 

 

AMERISAFE, INC.

(Exact Name of Registrant as Specified in Charter)

 

 

 

 i Texas    i 000-51520    i 75-2069407
(State or Other Jurisdiction
of Incorporation)
  (Commission
File Number)
  (IRS Employer
Identification No.)

 i 2301 Highway 190 West

 i DeRidder,  i Louisiana  i 70634

(Address of Principal Executive Offices) (Zip Code)

Registrant’s telephone number, including area code:  i (337)  i 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):

 

   i 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

   i 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

   i 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

   i 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company  i 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Securities registered or to be registered pursuant to Section 12(b) of the Act.

 

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange

on which registered

 i Common Stock, par value $0.01 per share    i AMSF    i Nasdaq Stock Market LLC

 

 

 


Item 5.02.

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.

On August 19, 2022, the Board of Directors (the “Board”) of AMERISAFE, Inc. (the “Company”) appointed Anastasios (Andy) Omiridis, age 54, as the Company’s Executive Vice President and Chief Financial Officer, effective September 1, 2022. As previously reported, he will replace Neal Fuller who announced his intention to retire in December 2021.

Since 2019, Mr. Omiridis has served as Senior Vice President, Deputy Chief Financial and Principal Accounting Officer of Kemper Corporation. From 2017 through 2019, Mr. Omiridis served as Senior Vice President and Chief Financial Officer of Chubb Life & CFO for Huatai Life JV. From 2012 through 2019, Mr. Omiridis was Senior Vice President and Chief Accounting Officer for ARGO Limited.

In connection with his appointment as an executive officer of the Company, the Company has entered into an employment agreement with Mr. Omiridis. The employment agreement is substantially similar to the employment agreements between the Company and each of the Company’s other executive officers.

The employment agreement has an initial term of three years. The term is automatically extended for an additional one-year period unless either party provides notice not to extend the term at least 30 days prior to the expiration date. The agreement provides for an annual base salary of not less than $450,000. Mr. Omiridis is also eligible to participate in the Company’s incentive plans and receive employee benefits provided to other executive officers of the Company.

Under this agreement, if the Company terminates Mr. Omiridis’s employment without cause, he will be entitled to receive cash severance compensation paid in installments, and continued health benefits, for a period of 12 months. The cash severance payment is an amount equal to his then current annual base salary plus the average annual incentive award received in the prior three years. The severance benefits exclude any long-term incentive based compensation. The employment agreement also provides that Mr. Omiridis will not engage in activities that are competitive with our business for 12 months.

In connection with his employment, the Company will make an award of restricted stock units with a value of $1,100,000 to Mr. Omiridis. The grant date of the award will be Mr. Omiridis’s first day of employment with the Company. Mr. Omiridis is expected to start on September 1, 2022. The award will be made under the Company’s 2022 Equity and Incentive Compensation Plan.

The foregoing descriptions of the employment agreement between the Company and Mr. Omiridis and his RSU award agreement are not complete and each is qualified in its entirety by reference to the full text of these agreements, copies of which are filed as Exhibit 10.1 and Exhibit 10.2 hereto and incorporated by reference herein.

Mr. Fuller will no longer serve as the Company’s Chief Financial Officer effective upon Mr. Omiridis’s first day of employment with the Company.

 

2


Item 9.01.

Financial Statements and Exhibits.

 

  (d)

Exhibits.

 

Exhibit

Number

  

Description

10.1    Employment Agreement, dated August 19, 2022, between the Company and Anastasios Omiridis
10.2    Form of 2022 Equity and Incentive Compensation Plan Restricted Share Units Award Agreement
 104    Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

3


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.

 

AMERISAFE, INC.
By:  

/s/ Kathryn H. Shirley

  Kathryn H. Shirley, Executive Vice
  President, Chief Administrative Officer and Secretary

Date: August 25, 2022

 

4


Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘8-K’ Filing    Date    Other Filings
9/1/22None on these Dates
Filed on:8/25/22
For Period end:8/19/22
 List all Filings 


2 Subsequent Filings that Reference this Filing

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 2/23/24  Amerisafe Inc.                    10-K       12/31/23  125:22M                                    Donnelley … Solutions/FA
 2/21/23  Amerisafe Inc.                    10-K       12/31/22  128:32M                                    Donnelley … Solutions/FA
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