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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
 
FORM 10-Q/A
AMENDMENT NO. 1
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
FOR THE QUARTERLY PERIOD ENDED MARCH 31, 2007
Commission file number: 000-51520
AMERISAFE, INC.
(Exact Name of Registrant as Specified in Its Charter)
     
Texas
(State of Incorporation)
  75-2069407
(I.R.S. Employer Identification Number)
     
2301 Highway 190 West, DeRidder, Louisiana
(Address of Principal Executive Offices)
  70634
(Zip Code)
Registrant’s telephone number, including area code: (337) 463-9052
Indicate by check mark whether the Registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes þ       No  o
Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer o      Accelerated filer þ      Non-accelerated filer o     
Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o      No þ     
As of May 1, 2007, there were 18,795,815 shares of the Registrant’s common stock, par value $.01 per share, outstanding.
 
 

 


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Item 6. Exhibits
SIGNATURES
EXHIBIT INDEX
Certification Pursuant to Section 302 - C. Allen Bradley, Jr.
Certification Pursuant to Section 302 - Geoffrey R. Banta


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EXPLANATORY NOTE
     This amendment is being filed solely to amend Item 6 of Part II, in order to file corrected Exhibits 31.1 and 31.2, as both of these Exhibits included in the Company’s Form 10-Q filed on May 8, 2007 inadvertently omitted the disclosure required to be included in paragraph 4(b) of these certifications.
 
Item 6. Exhibits.
     
Exhibit No.   Description
31.1
  Certification of C. Allen Bradley, Jr. filed pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
 
   
31.2
  Certification of Geoffrey R. Banta filed pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
 
   
32.1
  Certification of C. Allen Bradley, Jr. and Geoffrey R. Banta filed pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (incorporated by reference to Exhibit 32.1 to the Company’s Quarterly Report on Form 10-Q for the period ended March 31, 2007, filed with the Commission on May 8, 2007)
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 thereunto duly authorized.
     
 
  AMERISAFE, INC.
 
   
May 10, 2007
  /s/ C. Allen Bradley, Jr.
 
   
 
  C. Allen Bradley, Jr.
 
  Chairman, President and Chief Executive Officer
 
  (Principal Executive Officer)
 
   
May 10, 2007
  /s/ Geoffrey R. Banta
 
   
 
  Geoffrey R. Banta
 
  Executive Vice President and Chief Financial Officer
 
  (Principal Financial and Accounting Officer)

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EXHIBIT INDEX
     
Exhibit No.   Description
31.1
  Certification of C. Allen Bradley, Jr. filed pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
 
   
31.2
  Certification of Geoffrey R. Banta filed pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
 
   
32.1
  Certification of C. Allen Bradley, Jr. and Geoffrey R. Banta filed pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (incorporated by reference to Exhibit 32.1 to the Company’s Quarterly Report on Form 10-Q for the period ended March 31, 2007, filed with the Commission on May 8, 2007)