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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
AMERUS CAPITAL I
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(Exact name of registrant as specified in its charter)
DELAWARE 42-6559006
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(State of incorporation (I.R.S. Employer
or organization) Identification No.)
418 Sixth Avenue, Des Moines, Iowa 50309-2407
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(Address of principal executive offices) (Zip Code)
AMERUS LIFE HOLDINGS, INC.
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(Exact name of registrant as specified in its charter)
IOWA 42-1459712
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(State of incorporation (I.R.S. Employer
or organization) Identification No.)
418 Sixth Avenue, Des Moines, Iowa 50309-2407
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(Address of principal executive offices) (Zip Code)
If this Form relates to If this Form relates to
the registration of a the registration of a class
class of debt securities of debt securities and is to
and is effective upon become effective
filing pursuant to General simultaneously with the
Instruction A(c)(1) please effectiveness of a concurrent
check the following box. [ ] registration statement under
the Securities Act of 1933
pursuant to General
Instruction A(c)(2) please
check the following box. [ ]
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Securities to be registered pursuant to Section 12(b) of the Act:
None
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(Title of Class)
Securities to be registered pursuant to Section 12(g) of the Act:
AmerUs Capital I ___ % Capital Securities,
Series A (liquidation amount $1,000 per
Capital Security) and the guarantee and
subordinated debentures related thereto
ITEM 1. DESCRIPTION OF SECURITIES TO BE REGISTERED
The Capital Securities, Series A (the "Capital Securities") of AmerUs
Capital I, a trust formed under the laws of the State of Delaware (the
"Issuer"), registered hereby represent undivided beneficial interests in the
assets of the Issuer and are guaranteed by AmerUs Life Holdings, Inc., an Iowa
corporation (the "Company"), to the extent set forth in the Form of Guarantee
Agreement between the Company and Wilmington Trust Company, as Guarantee Trustee
(the "Guarantee"), which has been filed with the Securities and Exchange
Commission as Exhibit 4.4 to the Registration Statement on Form S-1 of the
Issuer and the Company (Registration No. 333-13713) (the "Registration
Statement"). The descriptions (the "Descriptions") of the Capital Securities,
the Subordinated Debentures and the Guarantee are set forth in the Preliminary
Prospectus dated January 17, 1997, which is included in and forms a part of the
Registration Statement, under the captions "Description of the Capital
Securities," "Description of the Junior Subordinated Debentures," "Description
of the Guarantee" and "Relationship Among the Capital Securities, the Junior
Subordinated Debentures and the Guarantee." Such Descriptions are incorporated
by reference herein and made a part hereof.
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ITEM 2. EXHIBITS
Exhibit No. Description
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1 Certificate of Trust of the Issuer (incorporated by reference to
Exhibit 3.4 to the Registration Statement)
2 Trust Agreement (incorporated by reference to Exhibit 3.5 to the
Registration Statement)
3 Form of Amended and Restated Trust Agreement (incorporated by
reference to Exhibit 3.6 to the Registration Statement)
4 Form of Indenture between the Company and Wilmington Trust
Company, as Indenture Trustee (incorporated by reference to
Exhibit 4.1 to the Registration Statement)
5 Form of Capital Security (incorporated by reference to Exhibit
4.2 to the Registration Statement)
6 Form of Junior Subordinated Debenture (incorporated by reference
to Exhibit 4.3 to the Registration Statement)
7 Form of Guarantee Agreement between the Company and Wilmington
Trust Company, as Guarantee Trustee (incorporated by reference to
Exhibit 4.4 to the Registration Statement)
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SIGNATURES
Pursuant to the requirements of Section 12 of the Securities and
Exchange Act of 1934, the Registrants have duly caused this Registration
Statement to be signed on their behalf by the undersigned, thereto duly
authorized.
Date: January 27, 1997
AMERUS LIFE HOLDINGS, INC.
By: /s/ James A. Smallenberger
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James A. Smallenberger
Senior Vice President
and Secretary
AMERUS CAPITAL I
By: AMERUS LIFE HOLDINGS, INC.,
as Depositor
By: /s/ James A. Smallenberger
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James A. Smallenberger
Senior Vice President
and Secretary
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EXHIBIT INDEX
Exhibit No. Description
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1 Certificate of Trust of the Issuer (incorporated by reference to
Exhibit 3.4 to the Registration Statement)
2 Trust Agreement (incorporated by reference to Exhibit 3.5 to the
Registration Statement)
3 Form of Amended and Restated Trust Agreement (incorporated by
reference to Exhibit 3.6 to the Registration Statement)
4 Form of Indenture between the Company and Wilmington Trust
Company, as Indenture Trustee (incorporated by reference to
Exhibit 4.1 to the Registration Statement)
5 Form of Capital Security (incorporated by reference to Exhibit
4.2 to the Registration Statement)
6 Form of Junior Subordinated Debenture (incorporated by reference
to Exhibit 4.3 to the Registration Statement)
7 Form of Guarantee Agreement between the Company and Wilmington
Trust Company, as Guarantee Trustee (incorporated by reference to
Exhibit 4.4 to the Registration Statement)
