Bermuda
(State or other jurisdiction
of incorporation)
|
Not applicable
(IRS Employer
Identification No.)
|
The Boyle Building, 2nd Floor
31 Queen Street
Hamilton, Bermuda HM 11
|
(Address of principal executive offices, including zip code)
|
2007 Incentive Stock Plan
(Full title of the Plan)
Timothy C. Faries
Appleby
Canon’s Court
22 Victoria Street
Hamilton HM EX, Bermuda
(441) 298-3216
(Name, address, and telephone number, including area code, of agent for service)
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Large accelerated filer ¨
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Accelerated filer T
|
Non-accelerated filer ¨
|
Smaller reporting company ¨
|
AMERICAN SAFETY INSURANCE HOLDINGS, LTD. | ||||
By: | /s/ Nicholas C. Bentley | |||
Name: | Nicholas C. Bentley | |||
Title: | President | |||
Principal Executive Officer: | ||||
By: | /s/ Nicholas C. Bentley | |||
Name: | Nicholas C. Bentley | |||
Title: | President | |||
Date: | October 3, 2013 |
Principal Financial and Accounting Officer: | ||||
By: | /s/ John Bator | |||
Name: | John Bator | |||
Title: | Vice President | |||
Date: | October 3, 2013 |
Directors: | ||||
By: | /s/ John Bator | |||
Name: | John Bator | |||
Date: | October 3, 2013 |
By: | /s/ Charles Collis | |||
Name: | Charles Collis | |||
Date: | October 3, 2013 |
By: | /s/ Ronald Schokking | |||
Name: | Ronald Schokking | |||
Date: | October 3, 2013 |
By: | /s/ Nicholas C. Bentley | |||
Name: | Nicholas C. Bentley | |||
Title: | President | |||
Date: | October 3, 2013 | |||