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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(B) OR 12(G) OF THE
SECURITIES EXCHANGE ACT OF 1934
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LASALLE RE HOLDINGS LIMITED
(EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
BERMUDA NOT APPLICABLE
(STATE OF ORGANIZATION) (I.R.S. EMPLOYER IDENTIFICATION NO.)
25 CHURCH STREET NOT APPLICABLE
P.O. BOX HM 1502 (ZIP CODE)
HAMILTON HM FX BERMUDA
(ADDRESS OF PRINCIPAL EXECUTIVE
OFFICES)
IF THIS FORM RELATES TO THE IF THIS FORM RELATES TO THE
REGISTRATION OF A CLASS OF DEBT REGISTRATION OF A CLASS OF DEBT
SECURITIES AND IS EFFECTIVE UPON SECURITIES AND IS TO BECOME
FILING PURSUANT TO GENERAL EFFECTIVE SIMULTANEOUSLY WITH THE
INSTRUCTION A(C)(1) PLEASE CHECK THE EFFECTIVENESS OF A CONCURRENT
FOLLOWING BOX. [_] REGISTRATION STATEMENT UNDER THE
SECURITIES ACT OF 1933 PURSUANT TO
GENERAL INSTRUCTION A(C)(2) PLEASE
CHECK THE FOLLOWING BOX. [_]
Securities to be registered pursuant to Section 12(b) of the Act:
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TITLE OF EACH CLASS NAME OF EACH EXCHANGE ON WHICH
TO BE SO REGISTERED EACH CLASS IS TO BE REGISTERED
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Series A Preferred Shares ($1.00 par val- New York Stock Exchange
ue)
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Securities to be registered pursuant to Section 12(g) of the Act:
NONE
(TITLE OF CLASS)
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED.
A complete description of the Series A Preferred Shares, par value $1.00 per
share (the "Series A Preferred Shares") is contained under the caption
"DESCRIPTION OF SERIES A PREFERRED SHARES" in the Prospectus forming a part of
the Form S-3 Registration Statement, as amended (File No. 333-23273), of
LaSalle Re Holdings Limited (the "Company"), filed with the Securities and
Exchange Commission (the "Commission") under the Securities Act of 1933, as
amended (the "Securities Act"). Such description is hereby incorporated by
reference and any description included in a form of prospectus subsequently
filed by the Company pursuant to Rule 424(b) under the Securities Act shall be
deemed to be incorporated herein by reference.
ITEM 2. EXHIBITS.*
The following exhibits are filed with the New York Stock Exchange, Inc.:
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EXHIBIT
NUMBER EXHIBIT
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1.1 Annual Report on Form 10-K of the Company for the fiscal year ended
September 30, 1996.
2.1 Quarterly Report on Form 10-Q of the Company for the quarter ended
December 31, 1996.
3.1 Proxy Statement of the Company dated January 14, 1997.
4.1 Memorandum of Association of the Company.
4.2 By-Laws of the Company.
4.3 Form of Certificate of Designation, Preferences and Rights of Series A
Preferred Shares of the Company.
5.1 Form of Stock Certificate for Series A Preferred Shares of the Company.
6.1 Annual Report to Shareholders of the Company for the fiscal year ended
September 30, 1996.
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* Pursuant to Instruction II to Form 8-A, the referenced exhibits have been
filed with the Registration Statement on Form 8-A filed with the New York
Stock Exchange, Inc., but shall not be deemed to be filed with or
incorporated by reference in copies of this Form 8-A filed with the
Commission.
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SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange Act of
1934, the Registrant has duly caused this Registration Statement to be signed
on its behalf by the undersigned, thereunto duly authorized.
LaSalle RE Holdings Limited
/s/ Andrew Cook
By:__________________________________
Andrew Cook
Chief Financial Officer and
Treasurer
Date: March 19, 1997
