MEDICAL DEFENSE HOLDING CO
SC 13E4/A, 1997-10-17
SURETY INSURANCE
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<PAGE>
 
================================================================================


                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                              --------------------

                                FINAL AMENDMENT

                                       TO
                                 SCHEDULE 13E-4
     (Pursuant to Section 13(e)(1) of the Securities Exchange Act of 1934)

                              --------------------

                          MEDICAL DEFENSE HOLDING CO.
                                (Name of Issuer)

                          MEDICAL DEFENSE HOLDING CO.
                      (Name of Person(s) Filing Statement)

                        PREFERRED STOCK, $1.00 PAR VALUE
                         (Title of Class of Securities)

                                  58455P 30 0
                     (CUSIP Number of Class of Securities)

                              --------------------

                               Ms. Geri Morrison
                          Medical Defense Holding Co.
                              1311 East Woodhurst
                          Springfield, Missouri 65804
                                 (417) 887-3120
  (Name, Address and Telephone Number of Person Authorized to Receive Notices
        and Communications on Behalf of the Person(s) Filing Statement)

                                    Copy to:
                              Mary Anne O'Connell
                              Husch & Eppenberger
                          1200 Main Street, Suite 1700
                          Kansas City, Missouri 64105
                                 (816) 421-4800

                                 August 8, 1997
     (Date Tender Offer First Published, Sent or Given to Security Holders)


================================================================================
<PAGE>
 
Item 1.  Security and Issuer.

     (a)   This Final Amendment amends and supplements the Issuer Tender Offer
Statement on Schedule 13E-4, dated August 8, 1997, as amended on September 23,
1997 (the "Schedule 13E-4"), of Medical Defense Holding Co., a Missouri
corporation (the "Company"), relating to the offer by the Company to purchase up
to 5,000,000 shares of its Preferred Stock, $1.00 par value ("Preferred
Shares"), at prices not less than $.30 nor in excess of $.40 per Preferred Share
in cash upon the terms and conditions set forth in the Offer to Purchase dated
August 8, 1997 (the "Offer to Purchase") and in the related Letter of
Transmittal (which together constitute the "Offer").

     On October 6, 1997, the Company announced that, based upon a count by UMB
Bank, n.a., the depositary for the Offer, 1,721,445 Preferred Shares were
properly tendered in the Offer and that it had accepted for purchase all of such
1,721,445 Preferred Shares at a price of $.40 per Preferred Share.

Item 2.  Source and Amount of Funds or Other Consideration.

     (a)-(b)  Not applicable.

Item 3.  Purpose of the Tender Offer and Plans or Proposals of the Issuer or
Affiliate.

     (a)-(j)  Not applicable.

Item 4.  Interest in Securities of the Issuer.

     Not applicable.

Item 5.  Contracts, Arrangements, Understandings or Relationships with Respect
to the Issuer's Securities.

     Not applicable.

Item 6.  Persons Retained, Employed, or to Be Compensated.

     Not applicable.

Item 7.  Financial Information.

     (a)-(b) Not applicable.

Item 8.  Additional Information.

     (a)-(e)  Not applicable.

Item 9.  Material to Be Filed as Exhibits.

     Item 9 is hereby amended by the addition of the following exhibits:

     (a)(7)  Letter dated October 15, 1997 from Ronald G. Benson, Chief 
             Executive Officer of the Company, indicating acceptance for
             purchase of shares properly tendered pursuant to the Offer to
             Purchase.

     (a)(8)  Letter dated October 15, 1997 from Ronald G. Benson, Chief 
             Executive Officer of the Company, indicating rejection of shares
             not properly tendered for failure to deliver stock certificates.

                                      -2-
<PAGE>
 
     (a)(9)  Letter dated October 15, 1997 from Ronald G. Benson, Chief 
             Executive Officer of the Company, indicating rejection of shares
             not properly tendered for failure to deliver Letter of Transmittal.



                                   SIGNATURE

     After inquiry and to the best of my knowledge and belief, I certify that
the information set forth in this statement is true, complete and correct.

October 17, 1997
                              MEDICAL DEFENSE HOLDING CO.



                              By:  /s/  Ronald G. Benson
                                 ------------------------------------
                                       Ronald G. Benson,
                                       Chief Executive Officer

                                      -3-
<PAGE>
 
                                 EXHIBIT INDEX
<TABLE>
<CAPTION>
 
Exhibit                             Description
Number                              -----------                                                Page No.
- -------                                                                                        --------
<S>        <C>                                                                                 <C>
(a)(7)     Letter dated October 15, 1997 from Ronald G. Benson, Chief Executive Officer            5
           of the Company, indicating acceptance for purchase of shares properly tendered
           pursuant to the Offer to Purchase.
 
(a)(8)     Letter dated October 15, 1997 from Ronald G. Benson, Chief Executive Officer            6
           of the Company, indicating rejection of shares not properly tendered for failure
           to deliver stock certificate.
 
(a)(9)     Letter dated October 15, 1997 from Ronald G. Benson, Chief Executive Officer            7
           of the Company, indicating rejection of shares not properly tendered for failure
           to deliver Letter of Transmittal.
</TABLE>

                                      -4-

<PAGE>
 
                                                                  Exhibit (a)(7)


                                [MDH Letterhead]



                                                                October 15, 1997


Dear Tendering Shareholder:

By this letter, you are hereby notified that Medical Defense Holding Co. ("MDH")
has accepted for purchase the number of shares of its Preferred Stock which you
tendered.  The shares have been accepted for purchase by MDH pursuant to its
Offer to Purchase dated August 8, 1997 (the "Offer").  UMB Bank, n.a., the
Depositary for the Offer, will be forwarding a check directly to you for either
the full purchase price, or the purchase price less the fees associated with
lost certificates, of the shares accepted in the Offer. UMB Bank currently
estimates they will mail the checks on or about October 16, 1997.

Pursuant to the Offer, MDH proposed to purchase up to 5,000,000 shares of its
Preferred Stock for a purchase price of not less than $.30 or in excess of $.40.
The actual purchase price was thereafter determined through a "dutch auction"
procedure.

The Offer terminated in accordance with its terms at 5:00 p.m., Central Time, on
October 3, 1997.  At such time 1,721,445 shares of MDH Preferred Stock were
tendered in the Offer.  The lowest per share price at which MDH could purchase
all of the shares of Preferred Stock properly tendered in the Offer was $.40.

If you have any questions with regard to the payment of your shares accepted in
the Offer, please contact the Depositary at (816) 860-7786 (call collect).  The
Board of Directors of MDH appreciates your interest in the Offer.

                                    Very truly yours,
 


                                    /s/ Ronald G. Benson
                                    Ronald G. Benson
                                    Chief Executive Officer

                                      -5-

<PAGE>
 
                                                                  Exhibit (a)(8)



                                [MDH Letterhead]



                                                                October 15, 1997


Dear Shareholder:

By this letter, you are hereby notified that your shares of Medical Defense
Holding Co. ("MDH") that you attempted to tender pursuant to Medical Defense
Holding Co.'s Offer to Purchase dated August 8, 1997 (the "Offer") will not be
accepted for purchase because your stock certificate(s) were not included with
your tender and the appropriate affidavit regarding lost certificates was not
received.

The Offer terminated in accordance with its terms at 5:00 p.m., Central Time, on
October 3, 1997.  At such time, 1,721,445 shares of MDH Preferred Stock were
properly tendered in the Offer and accepted.  The purchase price in the Offer,
determined through a "dutch auction" procedure, yielded a price for the shares
properly tendered of $.40 per share.

The Board of Directors of MDH appreciates your interest in the Offer.  The Board
will continue to explore alternatives to increase liquidity for holders of the
Preferred Stock, including, perhaps, other repurchase programs by MDH from time
to time.

                                    Very truly yours,


                                    /s/ Ronald G. Benson
                                    Ronald G. Benson
                                    Chief Executive Officer

                                      -6-

<PAGE>
 
                                                                  Exhibit (a)(9)



                                [MDH Letterhead]



                                                                October 15, 1997


Dear Shareholder:

By this letter, you are hereby notified that your shares of Medical Defense
Holding Co. ("MDH") that you attempted to tender pursuant to Medical Defense
Holding Co.'s Offer to Purchase dated August 8, 1997 (the "Offer") will not be
accepted for purchase because a properly completed letter of transmittal was not
received.

The Offer terminated in accordance with its terms at 5:00 p.m., Central Time, on
October 3, *1997.  At such time, 1,721,445 shares of MDH Preferred Stock were
properly tendered in the Offer and accepted.  The purchase price in the Offer,
determined through a "dutch auction" procedure, yielded a price for the shares
properly tendered of $.40 per share.

The Board of Directors of MDH appreciates your interest in the Offer.  The Board
will continue to explore alternatives to increase liquidity for holders of the
Preferred Stock, including, perhaps, other repurchase programs by MDH from time
to time.

                                    Very truly yours,


                                    /s/ Ronald G. Benson
                                    Ronald G. Benson
                                    Chief Executive Officer

                                      -7-


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