As filed with the Securities and Exchange Commission on August 1, 1997
Registration No. 33-94394
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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POST-EFFECTIVE AMENDMENT NO. 1
TO
FORM S-3
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
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LIFE USA HOLDING, INC.
(Exact name of issuer as specified in its charter)
MINNESOTA 41-1578384
(State or other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification No.)
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Suite 95, Interchange North Building
300 South Highway 169
Minneapolis, Minnesota 55426
(612) 546-7386
(Address, including zip code,
of issuer's principal executive offices)
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LIFE USA HOLDING, INC.
COMMON STOCK
(AGENT OPTION BONUSES)
(Full title of the plan)
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Robert W. MacDonald, Chief Executive Officer
Life USA Holding, Inc.
Suite 95, Interchange North Building
300 South Highway 169
Minneapolis, Minnesota 55426
(612) 546-7386
(Name and address, including zip code and telephone number,
including area code, of agent for service)
--------------------
COPIES TO:
Catherine A. Bartlett
Kaplan, Strangis and Kaplan, P.A.
5500 Norwest Center, 90 South Seventh Street
Minneapolis, Minnesota 55402
(612) 375-1138
<PAGE>
DEREGISTRATION OF SECURITIES
Life USA Holding, Inc. hereby deregisters 159,426 shares of its Common
Stock issuable upon the exercise of Option Bonuses pursuant to Form S-3
Registration Statement No. 33-94394, effective the date of filing of this
Post-Effective Amendment No. 1.
<PAGE>
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, as amended, the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing this Post-Effective Amendment No. 1 to
Registration Statement No. 33-94394 and has duly caused this Post-Effective
Amendment No. 1 to be signed on its behalf by the undersigned, thereunto duly
authorized, in the City of Minneapolis, State of Minnesota, on August 1, 1997.
LIFE USA HOLDING, INC.
By: /s/ Robert W. MacDonald
--------------------------------
Robert W. MacDonald
Chief Executive Officer
Pursuant to the requirements of the Securities Act of 1933, as amended,
this Post-Effective Amendment No. 1 to Registration Statement No. 33-94394 has
been signed by the following persons in the capacities and on the date
indicated.
Signature Title Date
--------- ----- ----
/s/ Robert W. MacDonald Chief Executive Officer August 1, 1997
- -------------------------- (Principal Executive Officer)
Robert W. MacDonald and Director
/s/ Mark A. Zesbaugh Executive Vice President, Chief August 1, 1997
- -------------------------- Financial Officer, Treasurer and
Mark A. Zesbaugh Secretary (Principal Accounting
Officer and Director)
* Director
- --------------------------
Hugh Alexander
<PAGE>
Signature Title Date
--------- ----- ----
* Director
- --------------------------
Jack H. Blaine
* Director
- --------------------------
Margery G. Hughes
* Director
- --------------------------
Barbara J. Lautzenheiser
* Director
- --------------------------
Daniel J. Rourke
* Director
- --------------------------
Ralph Strangis
* Director
- --------------------------
Donald J. Urban
*Robert W. MacDonald, pursuant to Powers of Attorney executed by each of
the directors above whose name is marked by a "*," by signing his name hereto
does hereby sign and execute this Post-Effective Amendment No. 1 to Registration
Statement No. 33-94394 of Life USA Holding, Inc. on behalf of each such
director.