FORM 8-A
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
ACCEPTANCE INSURANCE COMPANIES INC.
(Exact name of Registrant as specified in its charter)
DELAWARE 31-0742926
(State or other juris- (I.R.S. Employer
diction of incorporation ID No.)
or organization)
222 South 15th Street
Suite 600 North
Omaha, Nebraska 68102
(402) 344-8800
(Address of principal executive offices)
Securities to be registered pursuant to Section 12(b) of the Act:
Title of each class Name of each exchange on which
to be so registered each class is to be registered
Convertible Subordinated New York Stock Exchange, Inc.
Notes Due 2005 ("Notes")
If this Form relates to the registration of a class of
debt securities and is effective upon filing pursuant to General
Instruction A.(c)(1), please check the following box. [] [Added
in Release No. 34-34922 (para. 85,450), effective December 7,
1994, 59 F.R. 55342.]
If this Form relates to the registration of a class of
debt securities and is to become effective simultaneously with
the effectiveness of a concurrent registration statement under
the Securities Act of 1933 pursuant to General Instruction
A.(c)(2), please check the following box. [] [Added in Release
No. 34-34922 (para. 85,450), effective December 7, 1994, 59 F.R.
55342.]
Securities to be registered pursuant to Section 12(g) of the Act:
Not Applicable
<PAGE>
Item 1. Description of Registrant's Securities to be Registered
The information required by this item is contained on
the cover page and under the captions "Description of Notes" and
"Description of Capital Stock" in a Prospectus contained in the
Company's Registration Statement on Form S-3, Registration No.
33-57813, relating generally to the Notes. Such information is
incorporated herein by reference.
Item 2. Exhibits
The following exhibits are incorporated by reference as
a part of this registration statement:
Exhibit
Number
- -------
1 Form of Stock Certificate representing shares of
Acceptance Insurance Companies Inc. Common Stock, $.40
par value. Incorporated by reference to the Acceptance
Insurance Companies Inc. Annual Report on Form 10-K for
the year ended December 31, 1992.
2* Form of Indenture relating to ____% Convertible
Subordinated Notes due 2005 (including Form of Note) is
incorporated by reference to Exhibit 4.3 of the
Company's Registration Statement on Form S-3,
Registration No. 33-57813.
* To be filed by amendment to the Company's Registration
Statement on Form S-3, Registration No. 33-57813.
<PAGE>
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, thereto duly authorized.
ACCEPTANCE INSURANCE COMPANIES INC.
Date: February 28, 1995
/s/ Kenneth C. Coon
By _______________________________
Kenneth C. Coon
Chairman and Chief
Executive Officer
