SUPERVALU INC
8-K, 1994-07-20
GROCERIES & RELATED PRODUCTS
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<PAGE>
 
                      SECURITIES AND EXCHANGE COMMISSION

                            Washington, D.C.  20549
                              ------------------


                                   FORM 8-K

                                CURRENT REPORT


                    Pursuant to Section 13 or 15(d) of the
                        Securities Exchange Act of 1934


        Date of Report (Date of earliest event reported) July 14, 1994

                                SUPERVALU INC.
            ------------------------------------------------------
            (Exact name of registrant as specified in its charter)

          Delaware                       1-5418                 41-0617000
- - ----------------------------             ------             ------------------
(State or other jurisdiction          (Commission            (I.R.S. Employer
      of incorporation)               File Number)          Identification No.)
 
             11840 Valley View Road
            Eden Prairie, Minnesota                          55344
    ----------------------------------------               ----------
    (Address of principal executive offices)               (Zip Code)


       Registrant's telephone number, including area code (612) 828-4000
                                                          --------------


         -------------------------------------------------------------
         (Former name or former address, if changed since last report)
<PAGE>
 
Item 5.    Other Events.
- - -------    ------------ 

          On July 14, 1994, the Registrant agreed to sell $150,000,000
principal amount of its 7.25% Notes due July 15, 1999 (the "Notes"),
pursuant to the Underwriting Agreement dated October 30, 1992 executed by the
Registrant, as modified and incorporated by reference into the Pricing Agreement
dated July 14, 1994 among the Registrant and Goldman, Sachs & Co., CS First
Boston Corporation and Piper Jaffray Inc.

          The Notes are the subject of a Registration Statement on Form S-3 
(File No. 33-52422) filed by the Registrant with the Securities and Exchange 
Commission (the "Registration Statement").



Item 7.    Financial Statements and Exhibits.
- - ------     --------------------------------- 

          (c)  Exhibits.

          The following exhibits to the Registration Statement are filed
herewith:

     1.1  Pricing Agreement dated July 14, 1994 among the Registrant and
          Goldman, Sachs & Co., CS First Boston Corporation and Piper Jaffray 
          Inc.

     4.1  Officers' Certificate and Authentication Order (including the form of
          Notes) dated July 21, 1994, relating to the Notes issued pursuant to
          the Indenture dated as of July 1, 1987, as supplemented by the First
          Supplemental Indenture dated as of August 1, 1990 and the Second
          Supplemental Indenture dated as of October 1, 1992, between the
          Registrant and Bankers Trust Company, as Trustee.

                                      -2-
<PAGE>
 
                                   SIGNATURES

          Pursuant to the requirements of the Securities Exchange Act of 1934,
the Registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.


Dated:  July 20, 1994

                                    SUPERVALU INC.


                                    By:  /s/ DAVID A. CAIRNS
                                        ---------------------------------
                                         David A. Cairns
                                         Vice President and Treasurer

                                      -3-
<PAGE>
 
                                 EXHIBIT INDEX



1.1       Pricing Agreement dated July 14, 1994 among the Registrant and
          Goldman, Sachs & Co., CS First Boston Corporation and Piper Jaffray 
          Inc.

4.1       Officers' Certificate and Authentication Order (including the form of
          Notes) dated July 21, 1994, relating to the Notes issued pursuant to
          the Indenture dated as of July 1, 1987, as supplemented by the First
          Supplemental Indenture dated as of August 1, 1990 and the Second
          Supplemental Indenture dated as of October 1, 1992, between the
          Registrant and Bankers Trust Company, as Trustee.

                                      -4-

<PAGE>
 
                                                                     Exhibit 1.1

                               Pricing Agreement
                               -----------------



Goldman, Sachs & Co.
85 Broad Street
New York, New York  10004

CS First Boston Corporation
Park Avenue Plaza
New York, New York  10055

Piper Jaffray Inc.
222 South Ninth Street
Minneapolis, Minnesota  55402

                                                           July 14, 1994

Dear Sirs:

     SUPERVALU INC., a Delaware corporation (the "Company"), proposes, subject
to the terms and conditions stated herein and in the Underwriting Agreement,
dated October 30, 1992 (the "Underwriting Agreement"), to issue and sell to the
Underwriters named in Schedule I hereto (the "Underwriters") the Securities
specified in Schedule II hereto (the "Designated Securities").  Each of the
provisions of the Underwriting Agreement is incorporated herein by reference in
its entirety (other than clause (ii) of Section 7(d) and paragraph (iv)(D) of
Annex II), and shall be deemed to be a part of this Agreement to the same extent
as if such provisions had been set forth in full herein; and each of the
representations and warranties set forth therein shall be deemed to have been
made at and as of the date of this Pricing Agreement; provided, however, that
all references to "Wetterau Incorporated" and "Wetterau" in Sections 2(k) and
7(c)(iii) of the Underwriting Agreement shall be deemed to be references to
SUPERVALU Holdings, Inc. and "Prospectus" shall be deemed to refer to the
Prospectus in the form first filed pursuant to Rule 424(b) under the Securities
Act of 1933, as amended, on or after the date hereof.  Each reference to the
Representatives herein and in the provisions of the Underwriting Agreement so
incorporated by reference shall be deemed to refer to you.  Unless otherwise
defined herein, terms defined in the Underwriting Agreement are used herein as
therein defined. The Representatives designated to act on behalf of the
Representatives and on behalf of each of the Underwriters of the Designated
Securities pursuant to Section 12 of the Underwriting Agreement and the address
of the
<PAGE>
 
Representatives referred to in such Section 12 are set forth at the end of
Schedule II hereto.

     An amendment to the Registration Statement, or a supplement to the
Prospectus, as the case may be, relating to the Designated Securities, in the
form heretofore delivered to you is now proposed to be filed with the
Commission.

     Subject to the terms and conditions set forth herein and in the
Underwriting Agreement incorporated herein by reference, the Company agrees to
issue and sell to each of the Underwriters, and each of the Underwriters agrees,
severally and not jointly, to purchase  from the Company, at the time and place
and at the purchase price to the Underwriters set forth in Schedule II hereto,
the principal amount of Designated Securities set forth opposite the name of
such Underwriter in Schedule I hereto.

     If the foregoing is in accordance with your understanding, please sign and
return to us six counterparts hereof, and upon acceptance hereof by you, on
behalf of each of the Underwriters, this letter and such acceptance hereof,
including the provisions of the Underwriting Agreement incorporated herein by
reference, shall constitute a binding agreement between each of the Underwriters
and the Company.  It is understood that your acceptance of this letter on behalf
of each of the Underwriters is or will be pursuant to the authority set forth in
a form of Agreement among Underwriters, the form of which shall be submitted to
the


                                      -2-
<PAGE>
 
Company for examination, upon request, but without warranty on the part of the
Representatives as to the authority of the signers thereof.

                                       Very truly yours,

                                       SUPERVALU INC.



                                       By _______________________________
                                          Name:
                                          Title:


Accepted as of the date hereof:

GOLDMAN, SACHS & CO.



_________________________________
    (Goldman, Sachs & Co.)


CS FIRST BOSTON CORPORATION



By ______________________________
   Name:
   Title:


PIPER JAFFRAY INC.



By ______________________________
   Name:
   Title:

                                      -3-

<PAGE>
 
                                   SCHEDULE I
<TABLE>
<CAPTION>


                                                     Principal Amount
                                                        of Notes
         Underwriter                                 to be Purchased
         -----------                                 ---------------
<S>                                                  <C>

Goldman, Sachs & Co.................................   $ 60,000,000

CS First Boston Corporation.........................   $ 60,000,000

Piper Jaffray Inc...................................   $ 30,000,000

  Total.............................................   $150,000,000
                                                       ============
</TABLE>

                                      -4-
<PAGE>
 
                                  SCHEDULE II


                         TERMS OF DESIGNATED SECURITIES


                         7.25% NOTES DUE JULY 15, 1999


TITLE OF DESIGNATED SECURITIES:

     7.25% Notes due July 15, 1999 (the "Notes")

AGGREGATE PRINCIPAL AMOUNT:

     $150,000,000

PRICE TO PUBLIC:

     99.57% of the principal amount of the Notes, plus accrued interest from
     July 15, 1994

PURCHASE PRICE BY UNDERWRITERS:

     98.945% of the principal amount of the Notes, plus accrued interest from
     July 15, 1994

SPECIFIED FUNDS FOR PAYMENT OF PURCHASE PRICE:

     Immediately available funds

INDENTURE:

     Indenture, dated as of July 1, 1987, as supplemented by the First
     Supplemental Indenture, dated as of August 1, 1990, and the Second
     Supplemental Indenture, dated as of October 1, 1992, between the Company
     and Bankers Trust Company, as Trustee

MATURITY:

     July 15, 1999

INTEREST RATE AND INTEREST PERIOD:

     7.25% from July 15, 1994, or from the most recent Interest Payment Date to
     which interest has been paid or provided


                                      -5-
<PAGE>
 
 INTEREST PAYMENT DATES:

     January 15 and July 15, commencing January 15, 1995

REGULAR RECORD DATES:

     The close of business on the January 1 or July 1 immediately preceding the
     next Interest Payment Date

DENOMINATIONS AND FORM:

     $1,000 and integral multiples thereof, issuable only in fully registered
     form and represented by one or more Global Notes registered in the name of
     a nominee of The Depository Trust Company, as Depositary

REDEMPTION PROVISIONS:

     No provisions for redemption

SINKING FUND PROVISIONS:

     No sinking fund provisions

TIME OF DELIVERY:

     9:00 A.M., Minneapolis time, on July 21, 1994

CLOSING LOCATION:

     The offices of Dorsey & Whitney, 220 South Sixth Street, Minneapolis,
     Minnesota  55402


                      NAMES AND ADDRESSES OF UNDERWRITERS


     Goldman, Sachs & Co.*
     Credit Department
     85 Broad Street
     New York, NY  10004
     Attn:  Credit Control
     Telephone:  (212) 902-3711
     Facsimile:  (212) 357-8680

- - --------------------
 *   Representatives of the Underwriters.


                                      -6-
<PAGE>
 
     CS First Boston Corporation
     55 East 52nd Street
     Park Avenue Plaza
     New York, New York  10055
     Attn:  Joseph D. Fashano
     Telephone:  (212) 909-2107
     Facsimile:  (212)  318-0532

     Piper Jaffray Inc.
     222 South Ninth Street
     Minneapolis, Minnesota  55402
     Attn:  Paul D. Grangaard
     Telephone:  (612) 342-6326
     Facsimile:  (612) 342-6979


                                      -7-

<PAGE>

                                                                     EXHIBIT 4.1

 
                                SUPERVALU INC.

                Officers' Certificate and Authentication Order
                ----------------------------------------------
                       For 7.25% Notes due July 15, 1999
                       ---------------------------------

     Pursuant to the Indenture dated as of July 1, 1987 between SUPERVALU INC. 
(the "Company") and Bankers Trust Company, as trustee (the "Trustee"), as 
supplemented by the First Supplemental Indenture dated as of August 1, 1990 and 
the Second Supplemental Indenture dated as of October 1, 1992 (as so 
supplemented, the "Indenture") and resolutions adopted by the Board of Directors
of the Company effective September 24, 1992, this Officers' Certificate and 
Authentication Order is being delivered to the Trustee to establish the terms of
a series of Securities in accordance with Section 301 of the Indenture, to 
establish the form of the Securities of such series in accordance with Section 
201 of the Indenture and to request the authentication and delivery of the 
Securities of such series pursuant to Section 303 of the Indenture.

     Capitalized terms used but not defined herein and defined in the Indenture
shall have the respective meanings ascribed to them in the Indenture.

     A.  Establishment of Series Pursuant to Section 301 of Indenture.  There is
hereby established pursuant to Section 301 of the Indenture a series of
Securities which shall have the following terms:

       1.  The series of Securities hereby being authorized shall bear the title
  "7.25% Notes due July 15, 1999" (referred to herein as the "Debt Securities").

       2.  The aggregate principal amount of Debt Securities shall be limited to
  $150,000,000 (except as noted in Sections 303, 304, 305, 306, 906 or 1107 of
  the Indenture).

       3.  The Debt Securities shall be issued only as Registered Securities. 
  The Debt Securities shall not be issued in temporary global form. The Debt
  Securities shall be issued in the form of one or more Global Securities
  registered in the name of the Depositary or its nominee (each Debt Security
  represented by a Global Security being herein referred to as a "Book-Entry
  Debt Security"). The Depositary with respect to such Global Securities shall
  be The Depository Trust Company. The circumstances under which a Global
  Security may be exchanged for Debt Securities registered in the name of, and
  any transfer of such Global Security may be registered to, a Person other than
  such Depositary or its nominee shall be as provided in Section 305 of the
  Indenture.

<PAGE>
 
       4.  The principal of each Debt Security shall be due and payable on July
  15, 1999.

       5.  Each Debt Security shall bear interest at a rate of 7.25% per annum.
  Each Debt Security shall bear interest from July 15, 1994 or from the most
  recent Interest Payment Date to which interest has been paid or duly provided
  for.  Interest on each Debt Security shall be payable semi-annually on January
  15 and July 15 of each year, commencing January 15, 1995.  The Regular Record
  Dates with respect to each Debt Security shall be the January 1 and July 1 
  next preceding the January 15 and July 15 Interest Payment Dates.

       6.  Payment of principal of and interest on each Book-Entry Debt Security
  represented by a Global Security shall be made to the Depositary or its
  nominee, as the case may be, as the sole registered owner and the sole Holder
  of the Book-Entry Debt Securities represented thereby for all purposes under
  the Indenture.

       7.  The Debt Securities shall not be redeemable prior to their Stated
  Maturity.

       8.  The Debt Securities shall not be subject to any sinking fund.

       9.  The Company shall not pay any additional amounts on Debt Securities
  held by a Person who is a United States Alien in respect of any tax, 
  assessment or governmental charge withheld or deducted.

       B.  Establishment of Form of Debt Security Pursuant to Section 201 of
Indenture.  It is hereby established pursuant to Section 201 of the Indenture
that the Debt Securities shall be substantially in the form attached as Exhibit
A hereto.

       C.  Order for the Authentication and Delivery of Debt Securities
Pursuant to Section 303 of the Indenture.  It is hereby ordered pursuant to
Section 303 of the Indenture that the Trustee authenticate, in the manner
provided by the Indenture, one Debt Security in the aggregate principal amount
of $150,000,000 registered in the name of Cede & Co., which Debt Security has
been heretofore duly

                                      -2-

<PAGE>
 
executed by the proper officers of the Company and delivered to you as provided
in the Indenture, and to deliver said authenticated Debt Security to or upon the
order of Goldman, Sachs & Co. on July 21, 1994.

Dated:  July 21, 1994


                                    SUPERVALU INC.



                                    By   /s/ Jeffrey C. Girard
                                       -------------------------------
                                       Jeffrey C. Girard
                                       Executive Vice President and
                                          Chief Financial Officer



                                    By   /s/ David A. Cairns
                                        ------------------------------
                                        David A. Cairns
                                        Vice President and Treasurer

                                      -3-

<PAGE>
 
                                                                       Exhibit A

REGISTERED NO.                                        REGISTERED
                                                      PRINCIPAL
CUSIP NO. 868536AE3                                   AMOUNT: U.S. $


                                SUPERVALU INC.

                         7.25% Notes due July 15, 1999


     Unless this certificate is presented by an authorized representative of The
Depository Trust Company, a New York corporation ("DTC"), to the Company or its 
agent for registration or transfer, exchange or payment, and any certificate 
issued is registered in the name of Cede & Co. or in such other name as is 
requested by an authorized representative of DTC (and any payment is made to 
Cede & Co. or to such other entity as is requested by an authorized 
representative of DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR 
OTHERWISE BY OR TO ANY PERSON IS WRONGFUL inasmuch as the registered owner 
hereof, Cede & Co., has an interest herein.

     This Security is a Global Security within the meaning of the Indenture
hereinafter referred to and is registered in the name of DTC, as Depositary for
this series of Securities (the "Depositary"), or a nominee of the Depositary.
This Security is exchangeable for Securities registered in the name of a Person
other than the Depositary or its nominee only in the limited circumstances
described in the Indenture, and no transfer of this Security (other than a
transfer of this Security as a whole by the Depositary to a nominee of the
Depositary or by a nominee of the Depositary to the Depositary or another
nominee of the Depositary) may be registered except in such limited
circumstances.



     SUPERVALU INC., a corporation duly organized and existing under the laws of
Delaware (herein called the "Company", which term includes any successor Person
under the Indenture referred to below), for value received, hereby promises to
pay to ________________________________________________, or registered assigns,
the principal sum of ___________________ United States Dollars ($__________) on
July 15, 1999, and to pay interest thereon from July 15, 1994, or from the most
recent Interest Payment Date to which interest has been paid or duly provided 
for, semi-annually in arrears on January 15 and July 15 in each year, 
commencing on January 15, 1995, at the rate of 7.25% per annum, until the 
principal hereof is paid or made available for payment, and (to the extent that
the payment of such interest shall be legally enforceable) at the rate of

<PAGE>
 
7.25% per annum on any overdue principal and on any overdue instalment of
interest.  The interest so payable, and punctually paid or duly provided for, on
any Interest Payment Date will, as provided in such Indenture, be paid to the
Person in whose name this Security (or one or more Predecessor Securities) is
registered at the close of business on the Regular Record Date for such
interest, which shall be the January 1 and July 1 (whether or not a Business
Day), as the case may be, next preceding such Interest Payment Date.  Except as
otherwise provided in the Indenture, any such interest not so punctually paid or
duly provided for shall forthwith cease to be payable to the registered Holder
on such Regular Record Date and may either be paid to the Person in whose name
this Security (or one or more Predecessor Securities) is registered at the close
of business on a Special Record Date for the payment of such Defaulted Interest
to be fixed by the Trustee, notice of which shall be given to Holders of
Securities of this series not less than 10 days prior to such Special Record
Date, or be paid at any time in any other lawful manner not inconsistent with
the requirements of any securities exchange on which the Securities of this
series may be listed, and upon such notice as may be required by such exchange,
all as more fully provided in said Indenture.

     Payment of the principal of and interest on any Security of this series
(that is not a Global Security) will be made at the office or agency of the
Company maintained for that purpose in The City of New York.  Payment of
principal of and interest on any Global Security will be made to the Depositary
or its nominee, as the case may be, as the sole registered owner and the sole
Holder of the Global Security for all purposes under the Indenture.

     Payment of the principal of and interest on this Security will be made in
such coin or currency of the United States of America as at the time of payment
is legal tender for payment of public or private debts.

     Reference is hereby made to the further provisions of this Security set
forth below, which further provisions shall for all purposes have the same
effect as if set forth at this place.

     Unless the certificate of authentication hereon has been executed by the
Trustee referred to below, directly or through an Authenticating Agent, by
manual signature of an authorized signatory, this Security shall not be entitled
to any benefit under the Indenture or be valid or obligatory for any purpose.

                                      -2-
<PAGE>
 
     IN WITNESS WHEREOF, the Company has caused this instrument to be duly
executed under its corporate seal.


                                    SUPERVALU INC.

   
                                    
[SEAL]                              By_________________________________
                                      Title:

Attest:

__________________________________
Title:



Dated:  July 21, 1994



                    TRUSTEE'S CERTIFICATE OF AUTHENTICATION


     This is one of the Securities of the series designated herein referred to
in the within-mentioned Indenture.


                                    BANKERS TRUST COMPANY
                                      as Trustee


                                    By_________________________________
                                      Authorized Signatory

                                      -3-
<PAGE>
 
                                 SUPERVALU INC.

                         7.25% Notes due July 15, 1999



          This Security is one of a duly authorized issue of securities of the
Company (herein called the "Securities"), issued and to be issued in one or more
series under an Indenture, dated as of July 1, 1987, as amended and supplemented
by the First Supplemental Indenture thereto, dated as of August 1, 1990, and the
Second Supplemental Indenture thereto, dated as of October 1, 1992 (the
Indenture, as so amended and supplemented, being herein called the "Indenture"),
between the Company and Bankers Trust Company, as Trustee (herein called the
"Trustee", which term includes any successor trustee under the Indenture), to
which Indenture and all indentures supplemental thereto reference is hereby made
for a statement of the respective rights, limitations of rights, duties and
immunities thereunder of the Company, the Trustee and the Holders of the
Securities and of the terms upon which the Securities are, and are to be,
authenticated and delivered.  This Security is one of the series designated
above, limited in aggregate principal amount to U.S. $150,000,000.

          The Securities of this series are issuable only in registered form,
without coupons, in denominations of $1,000 and any integral multiple thereof.
The Securities of this series may be issued, in whole or in part, in the form of
one or more Global Securities bearing the legend specified in the Indenture
regarding certain restrictions on registration of transfer and exchange and
issued to the Depositary or its nominee and registered in the name of the
Depositary or such nominee.  As provided in the Indenture and subject to certain
limitations (including, if this Security is a Global Security, certain
additional limitations) therein set forth, Securities of this series issued in
definitive registered form are exchangeable for a like aggregate principal
amount of Securities of this series and of like tenor of a different authorized
denomination, as requested by the Holder surrendering the same.

          Payments of interest hereon with respect to any Interest Payment Date
will include interest accrued to but excluding such Interest Payment Date.
Interest hereon shall be computed on the basis of a 360-day year of twelve 30-
day months.

          Any payment on this Security due on any day which is not a Business
Day in The City of New York need not be made on such day, but may be made on the
next succeeding Business Day with the same force and effect as if made on such
due date, and no interest shall accrue for the period from and after such date.

                                      -4-
<PAGE>
 
          If an Event of Default with respect to the Securities of this series
shall occur and be continuing, the principal of the Securities of this series
may be declared due and payable in the manner and with the effect provided in
the Indenture.

          The Indenture contains provisions for defeasance at any time of the
Company's obligations in respect of (i) the entire indebtedness of this Security
or (ii) certain restrictive covenants with respect to this Security, in each
case upon compliance with certain conditions set forth therein.

          The Indenture permits, with certain exceptions as therein provided,
the amendment thereof and the modification of the rights and obligations of the
Company and the rights of the Holders of the Securities of each series to be
affected under the Indenture at any time by the Company and the Trustee with the
consent of the Holders of at least a majority in principal amount of the
Securities at the time Outstanding of each series to be affected.  The Indenture
also contains provisions permitting the Holders of specified percentages in
principal amount of the Securities of each series at the time Outstanding, on
behalf of the Holders of all Securities of such series, to waive compliance by
the Company with certain provisions of the Indenture and certain past defaults
under the Indenture and their consequences. Any such consent or waiver by the
Holder of this Security shall be conclusive and binding upon such Holder and
upon all future Holders of this Security and of any Security or Securities
issued upon the registration of transfer hereof or in exchange herefor or in
lieu hereof, whether or not notation of such consent or waiver is made upon this
Security.

          As set forth in, and subject to, the provisions of the Indenture, no
Holder of any Security of this series will have any right to institute any
proceeding with respect to the Indenture or for any remedy thereunder, unless
such Holder shall have previously given to the Trustee written notice of a
continuing Event of Default with respect to this series, the Holders of not less
than 25% in principal amount of the Outstanding Securities of this series shall
have made written request, and offered reasonable indemnity, to the Trustee to
institute such proceeding as trustee, and the Trustee shall not have received
from the Holders of a majority in principal amount of the Outstanding Securities
of this series a direction inconsistent with such request and shall have failed
to institute such proceeding within 60 days; provided, however, that such
limitations do not apply to a suit instituted by the Holder hereof for the
enforcement of payment of the principal of or interest on this Security on or
after the respective due dates expressed herein.

          No reference herein to the Indenture and no provision of this Security
or of the Indenture shall alter or impair the obligation of the Company, which
is absolute and unconditional, to pay the principal of and interest on this
Security at the times, places and rate, and in the coin or currency, herein
prescribed.

                                      -5-
<PAGE>
 
          As provided in the Indenture and subject to certain limitations
(including, if this Security is a Global Security, the limitations set forth on
the first page hereof) therein set forth, the transfer of this Security is
registrable in the Security Register, upon surrender of this Security for
registration of transfer at the office or agency of the Company in any place
where the principal of and interest on this Security are payable, duly endorsed
by, or accompanied by a written instrument of transfer in form satisfactory to
the Company and the Security Registrar, duly executed by, the Holder hereof or
such Holder's attorney duly authorized in writing, and thereupon one or more new
Securities of this series and of like tenor, of authorized denominations and for
the same aggregate principal amount, will be issued to the designated transferee
or transferees.

          No service charge shall be made for any such registration of transfer
or exchange, but the Company may require payment of a sum sufficient to cover
any tax or other governmental charge payable in connection therewith.

          Prior to due presentment of this Security for registration of
transfer, the Company, the Trustee and any agent of the Company or the Trustee
may treat the Person in whose name this Security is registered as the owner
hereof for all purposes, whether or not this Security be overdue, and neither
the Company, the Trustee nor any such agent shall be affected by notice to the
contrary.

          This Security shall be governed by and construed in accordance with
the laws of the State of New York.

          All terms used in this Security which are defined in the Indenture
shall have the meanings assigned to them in the Indenture.


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

                                      -6-
<PAGE>
 
                                 ABBREVIATIONS

          The following abbreviations, when used in the inscription above, shall
be construed as though they were written out in full according to applicable
laws or regulations.

               TEN COM - as tenants in common

               TEN ENT - as tenants by the entireties

               JT TEN - as joint tenants with right of
                        survivorship and not as tenants
                        in common

               UNIF GIFT MIN ACT - _______________ Custodian ___________________
                                    (Cust)                         (Minor)
                        under Uniform Gifts to Minors Act


                        _________________________________
                                     (State)

                   Additional abbreviations may also be used
                         though not in the above list.


                        _________________________________

                                      -7-
<PAGE>
 
                                   ASSIGNMENT
                                   ----------


          FOR VALUE RECEIVED, the undersigned hereby sell(s), assign(s) and

transfer(s) unto _______________________________________________________________

PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
 ____________________________
|____________________________|


________________________________________________________________________________

________________________________________________________________________________
                  (Please Print or Typewrite Name and Address
                     Including Postal Zip Code of Assignee)

________________________________________________________________________________
the within Security and all rights thereunder, and hereby irrevocably
constitutes and appoints _______________________________________________________

________________________________________________________________________________
to transfer said Security on the books of the Company, with full power of
substitution in the premises.

Dated: ____________________

Signature Guaranteed

___________________________      ____________________________________
                                 NOTICE: The signature to this
                                 assignment must correspond
                                 with the name as written upon
                                 the face of the within
                                 Security in every particular,
                                 without alteration or
                                 enlargement or any change whatever.

                                      -8-


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