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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 50306-2499
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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 50306-2499
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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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Title of each Class of Name of Exchange on which each
Securities to be registered Class is to be registered:
pursuant to Section 12(b)
of the Act:
AmerUs Capital I ___% New York Stock Exchange
Cumulative Quarterly Income
Preferred Securities (QUIPS-SM-)
(and the guarantee and
subordinated debentures related
thereto)
Securities to be registered pursuant to Section 12(g) of the Act:
None
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(Title of Class)
ITEM 1. DESCRIPTION OF SECURITIES TO BE REGISTERED
The Cumulative Quarterly Income Preferred Securities (the "Preferred
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 Number 333-13713) (the
"Registration Statement"). The descriptions (the "Descriptions") of the
Preferred Securities and the Guarantee are set forth in the Preliminary
Prospectus dated October 8, 1996, which is included in and forms a part of the
Registration Statement, under the captions "Description of the Preferred
Securities," "Description of the Guarantee" and "Relationship Among the
Preferred Securities, the Junior Subordinated Debentures and the Guarantee."
Such Descriptions are incorporated by reference herein and made a part hereof.
("QUIPS" is a servicemark of Goldman, Sachs & Co.)
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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 Preferred 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 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: October 24, 1996
AMERUS LIFE HOLDINGS, INC.
By: /s/ Roger K. Brooks
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Roger K. Brooks
Chairman, President and
Chief Executive Officer
AMERUS CAPITAL I
By: Wilmington Trust Company, not in its
individual capacity but solely as Trustee
By: /s/Emmett R. Harmon
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, Trustee
Vice President
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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 Preferred 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)
