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OMB APPROVAL
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OMB Number: 3235-0104
Expires: September 30, 1998
Estimated average burden
hours per response ....0.5
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FORM 3/A
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section
17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the
Investment Company Act of 1940.
1. Name and Address of Reporting Person*
Heitz, Mark V.
AmVestors Financial Corporation
One AmVestors Place
555 S. Kansas Avenue
Topeka, KS 66601-2039
USA
2. Date of Event Requiring Statement (Month/Day/Year)
01/02/1998
3. IRS or Social Security Number of Reporting Person (voluntary)
4. Issuer Name and Ticker or Trading Symbol
AmerUs Life Holdings, Inc. (AMH)
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
/ / Director / / 10% Owner
/X/ Officer (give title below) / / Other (specify below)
President & CEO - AmVestors Financial Corporation
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6. If Amendment, Date of Original (Month/Day/Year)
01/09/1998
7. Individual or Joint/Group Filing (Check Applicable Line)
/X/ Form filed by One Reporting Person
/ / Form filed by More than One Reporting Person
<TABLE>
Table I -- Non-Derivative Securities Beneficially Owned
<CAPTION>
1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instr. 4) Beneficially Owned Direct (D) or Beneficial Ownership
(Instr. 4) Indirect (I) (Instr. 5)
(Instr. 5)
- --------------------- ---------------------- --------------- -------------------------
<S> <C> <C> <C>
Class A Common Stock 44,307.00(1) D
Class A Common Stock 7,059.00 I ESOP Trust (2)
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
*If the form is filed by more than one reporting person, see
Instruction 5(b)(v).
<PAGE>
<TABLE>
Form 3/A (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<CAPTION>
1. Title of Derivative 2. Date Exer- 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of
Security (Instr. 4) cisable and Securities Under- sion or ship Indirect
Expiration lying Derivative Exercise Form of Beneficial
Date (Month/ Security Price of Deriv- Ownership
Day/Year) (Instr. 4) Derivative ative (Instr. 5)
Security Security:
Direct
(D) or
Indirect
(I)
(Instr. 5)
------ ------- ----- --------
Date Expir- Title Amount
Exer- ation or Number
cisable Date of Shares
- -------------------- ------- ------ ------------ --------- ---------- --------- ------------
<S> <C> <C> <C> <C> <C> <C> <C>
Employee Stock Option 11/19/94 11/19/03 Class A 36,982.00 14.8721 D
(Right to Buy) Common Stock
Employee Stock Option 3/30/96 3/30/05 Class A 6,724.00 15.802 D
(Right to Buy) Common Stock
Employee Stock Option 4/20/94 4/20/03 Class A 17,482.40 18.8226 D
(Right to Buy) Common Stock
Employee Stock Option (3) 3/28/06 Class A 73,291.60 19.1478 D
(Right to Buy) Common Stock
Employee Stock Option (4) 12/19/07 Class A 20,000.00 35 D
(Right to Buy) Common Stock
</TABLE>
Explanation of Responses:
1. Initial holdings were incorrectly reported due to fractional share that was
paid in cash upon completion of the merger between AmerUs Life Holdings,
Inc. and AmVestors Financial Corporation on 12/19/97.
2. Employee Stock Ownership Plan Trust
3. Grant of Option Exempt Under Rule 16b-3. The option becomes exercisable in
increments as follows: 12/31/96-77,936;12/31/97-7,766; 12/31/98-7,766;
12/31/99-7,766; 12/31/00-7,766.
4. Grant of Option Exempt Under Rule 16b-3. The option becomes exercisable in
increments as follows: 12/19/98-6,666; 12/19/99-6,667; 12/19/00-6,667.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If
space is insufficient, See Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB Number.
/s/ Mark V. Heitz September 17, 1998
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**Signature of Reporting Person Date