e8va12b
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
REINSURANCE GROUP OF AMERICA, INCORPORATED
(Exact name of registrant as specified in its charter)
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Missouri
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43-1627032 |
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(State of Incorporation or Organization)
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(I.R.S. Employer Identification No.) |
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1370 Timberlake Manor Parkway, Chesterfield, Missouri
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63017 |
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(Address of principal executive offices)
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(Zip Code) |
Securities to be registered pursuant to Section 12(b) of the Act:
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Title of Each Class |
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Name of Each Exchange on Which |
to be so Registered |
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Each Class is to be Registered |
Common Stock, Class A, $0.01 par value
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New York Stock Exchange |
Series A-1 Preferred Share Purchase Rights
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New York Stock Exchange |
Common Stock, Class B, $0.01 par value
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New York Stock Exchange |
Series B-1 Preferred Share Purchase Rights
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New York Stock Exchange |
If this form relates to the registration of a class of securities pursuant to Section 12(b) of the
Exchange Act and is effective pursuant to General Instruction A.(c), check the following box. þ
If this form relates to the registration of a class of securities pursuant to Section 12(g) of the
Exchange Act and is effective pursuant to General Instruction A.(d), check the following box. o
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Securities Act registration statement file number to which this form relates : |
333-151390 |
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(If applicable) |
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Securities to be registered pursuant to Section 12(g) of the Act:
None
(Title of class)
TABLE OF CONTENTS
ITEM 1. Description Of Registrants Securities To Be Registered.
The description under the heading Description of RGA Capital Stock relating to Reinsurance
Group of America, Incorporateds (the Company) class A common stock, $0.01 par value per share
and class B common stock, $0.01 par value per share, as applicable, in the Proxy
Statement/Prospectus included in the Companys Registration Statement on Form S-4 (Registration No.
333-151390) filed with the U.S. Securities and Exchange Commission (SEC) on June 3, 2008, and
amended by Pre-Effective Amendment No. 1 on July 10, 2008, as amended from time to time (the
Registration Statement), is incorporated herein by reference.
The description under the heading Proposal Five: Ratification of Section 382 Shareholder
Rights Plan Description of Section 382 Shareholder Rights
Plan, Anti-Takeover Effect, and
Possible Effect on Liquidity relating to the Companys Series A-1 Preferred Share Purchase Rights and the Company
Series B-1 Preferred Share Purchase Rights, as applicable, in the Proxy Statement/Prospectus
included in the Registration Statement, is incorporated herein by reference.
Any form of prospectus subsequently filed by the Company pursuant to Rule 424(b) under the
Securities Act of 1933, as amended, which includes a description of the securities to be registered
hereunder shall be deemed to be incorporated by reference into this registration statement.
ITEM 2. Exhibits.
See exhibit index.
2
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.
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REINSURANCE GROUP OF AMERICA, |
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INCORPORATED |
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Date: July 16, 2008
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By:
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/s/ Jack B. Lay |
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Jack B. Lay |
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Senior Executive Vice President |
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and Chief Financial Officer
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3
EXHIBIT INDEX
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Exhibit No. |
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Description of Exhibit |
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1
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Proposed Amended and Restated Articles of Incorporation of RGA,
incorporated by reference to Exhibit 3.3 of the Companys
Current Report on Form 8-K, filed with the SEC on June 5, 2008. |
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2
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Proposed Amended and Restated Bylaws of RGA, incorporated by
reference to Exhibit 3.4 of the Companys Current Report on Form
8-K, filed with the SEC on June 5, 2008. |
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3
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Form of Amended and Restated Section 382 Rights Agreement
between Reinsurance Group of America, Incorporated and Mellon
Investor Services LLC, as Rights Agent, incorporated by
reference to Appendix C of the Registration Statement, which
includes the form of Amended and Restated Certificate of
Designation, Preferences and Rights of Series A-1 Junior
Participating Preferred Stock as Exhibit A-1, the form of
Certificate of Designation, Preferences and Rights of Series B-1
Junior Participating Preferred Stock as Exhibit A-2, the form of
Right Certificate for Class A Rights as Exhibit B-1 and the Form
of Right Certificate for Class B Rights as Exhibit B-2.
Pursuant to the Amended and Restated Section 382 Rights
Agreement, as so amended, printed Right Certificates will not be
mailed until as soon as practicable after the earlier of the
tenth day following the date of the earlier of either public
announcement that a person or group (except for certain
grandfathered or exempted persons) has acquired beneficial
ownership of 5% or more (by value) of RGA stock (as defined in
the agreement) or the close of business on the tenth business
day (or such later date as may be determined by action of the
Board of Directors) after a person commences, or announces its
intention to commence, a tender offer or exchange offer the
consummation of which would result in the beneficial ownership
by a person or group (except for certain grandfathered or
exempted persons) of 5% or more (by value) of RGA stock. |
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4
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Form of stock certificate for the Companys class A common stock. |
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5
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Form of stock certificate for the Companys class B common stock. |
exv4
Exhibit 4
[FACE OF CERTIFICATE]
[LOGO]
RG [ ]
[ ] SHARES
SEE REVERSE FOR TRANSFER RESTRICTIONS AND OTHER IMPORTANT RIGHTS OR LIMITATIONS, INCLUDING CERTAIN
DEFINITIONS
$.01 PAR VALUE
INCORPORATED UNDER THE LAWS OF THE STATE OF MISSOURI
THIS CERTIFICATE IS TRANSFERABLE IN JERSEY CITY, NJ, NEW YORK, NY AND PITTSBURGH, PA
CUSIP 759351 40 6
THIS CERTIFIES THAT [ ]
IS THE OWNER OF [ ]
FULLY PAID AND NON-ASSESSABLE SHARES OF THE CLASS A COMMON STOCK OF
Reinsurance Group of America, Incorporate transferable on the books of the Corporation by the
holder hereof in person or by duly authorized attorney upon surrender of this certificate properly
endorsed.
This certificate and the shares of stock represented hereby are issued and shall be held
subject to all of the provisions of the Amended and Restated Articles of Incorporation and Bylaws
of the Corporation, and all amendments thereto, copies of which are on file at the office of the
Transfer Agent, to all of which the holder, by accepting this certificate, assents.
This certificate is not valid unless countersigned and registered by the Transfer Agent and
Registrar.
Witness the facsimile seal of the Corporation and the facsimile signatures of its duly
authorized officers.
Dated: [ ]
COUNTERSIGNED AND REGISTERED
MELLON INVESTOR SERVICES LLC
TRANSFER AGENT AND REGISTRAR
By:
AUTHORIZED SIGNATURE
[SEAL]
[SIGNATURE]
PRESIDENT
[SIGNATURE]
SECRETARY
[REVERSE OF CERTIFICATE]
REINSURANCE GROUP OF AMERICA, INCORPORATED
THE COMPANY WILL FURNISH, WITHOUT CHARGE, TO EACH SHAREHOLDER WHO SO REQUESTS A STATEMENT OF
THE DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH
CLASS OF STOCK, OR SERIES THEREOF, WHICH THE COMPANY IS AUTHORIZED TO ISSUE AND THE QUALIFICATIONS,
LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS. ANY SUCH REQUEST IS TO BE ADDRESSED
TO THE SECRETARY OF THE COMPANY OR TO THE TRANSFER AGENT NAMED ON THE FACE OF THIS CERTIFICATE.
THIS CERTIFICATE ALSO EVIDENCES AND ENTITLES THE HOLDER HEREOF TO CERTAIN RIGHTS AS SET FORTH
IN A SECTION 382 RIGHTS AGREEMENT BETWEEN REINSURANCE GROUP OF AMERICA, INCORPORATED (THE
COMPANY) AND MELLON INVESTOR SERVICES LLC (OR ANY SUCCESSOR THERETO), AS RIGHTS AGENT, AS IT MAY
FROM TIME TO TIME BE SUPPLEMENTED OR AMENDED (THE RIGHTS AGREEMENT), THE TERMS OF WHICH ARE
INCORPORATED HEREIN BY REFERENCE AND A COPY OF WHICH IS ON FILE AT THE PRINCIPAL EXECUTIVE OFFICES
OF THE COMPANY. UNDER CERTAIN CIRCUMSTANCES, AS SET FORTH IN THE RIGHTS AGREEMENT, SUCH RIGHTS MAY
EXPIRE OR MAY BE REDEEMED, EXCHANGED OR BE EVIDENCED BY SEPARATE CERTIFICATES AND NO LONGER BE
EVIDENCED BY THIS CERTIFICATE. THE COMPANY WILL MAIL TO THE HOLDER OF THIS CERTIFICATE A COPY OF
THE RIGHTS AGREEMENT WITHOUT CHARGE PROMPTLY AFTER RECEIPT OF A WRITTEN REQUEST THEREFOR. UNDER
CERTAIN CIRCUMSTANCES, RIGHTS ISSUED TO OR HELD BY ACQUIRING PERSONS (AS DEFINED IN THE RIGHTS
AGREEMENT) AND ANY SUBSEQUENT HOLDER OF SUCH RIGHTS MAY BECOME NULL AND VOID.
THE TRANSFER OF SECURITIES REPRESENTED BY THIS CERTIFICATE IS (AND OTHER SECURITIES OF THE
CORPORATION MAY BE) SUBJECT TO RESTRICTION PURSUANT TO ARTICLE FOURTEEN OF THE CORPORATIONS
AMENDED AND RESTATED ARTICLES OF INCORPORATION. THE CORPORATION WILL FURNISH A COPY OF ITS AMENDED
AND RESTATED ARTICLES OF INCORPORATION SETTING FORTH THE POWERS, DESIGNATIONS, PREFERENCES AND
RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF
AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS TO THE HOLDER
OF RECORD OF THIS CERTIFICATE WITHOUT CHARGE UPON WRITTEN REQUEST ADDRESSED TO THE CORPORATION AT
ITS PRINCIPAL PLACE OF BUSINESS.
The following abbreviations, when used in the inscription on the face of this certificate,
shall be construed as though they were written out in full according to applicable laws or
regulations:
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TEN COM
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as tenants in common |
TEN ENT
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as tenants by the entireties |
JT TEN
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as joint tenants with right of survivorship |
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and not as tenants in common |
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UNIF GIFT MIN ACT
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Custodian
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(Cust)
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(Minor)
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under Uniform Gifts to Minors |
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Act |
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(State)
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UNIF TRAN MIN ACT
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Custodian
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(Cust)
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(Minor)
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under Uniform Gifts to Minors |
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Act |
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(State)
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Additional abbreviations may also be used though not in the above list.
For Value Received, hereby sell, assign and transfer unto
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PLEASE INSERT SOCIAL SECURITY OR OTHER
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IDENTIFYING NUMBER OF ASSIGNEE |
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(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS OF ASSIGNEE)
[ ] Shares represented by the within certificate, and do hereby irrevocably constitute and appoint
[ ] Attorney to transfer the said shares on the books of the within-named Corporation with full
power of substitution in the premises.
Dated [ ]
[SIGNATURE]
NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF
THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.
exv5
Exhibit 5
[FACE OF CERTIFICATE]
[LOGO]
RG [ ]
[ ] SHARES
SEE REVERSE FOR TRANSFER RESTRICTIONS AND OTHER IMPORTANT RIGHTS OR LIMITATIONS, INCLUDING CERTAIN
DEFINITIONS
$.01 PAR VALUE
INCORPORATED UNDER THE LAWS OF THE STATE OF MISSOURI
THIS CERTIFICATE IS TRANSFERABLE IN JERSEY CITY, NJ, NEW YORK, NY AND PITTSBURGH, PA
CUSIP 759351 50 5
THIS CERTIFIES THAT [ ]
IS THE OWNER OF [ ]
FULLY PAID AND NON-ASSESSABLE SHARES OF THE CLASS B COMMON STOCK OF
Reinsurance Group of America, Incorporate transferable on the books of the Corporation by the
holder hereof in person or by duly authorized attorney upon surrender of this certificate properly
endorsed.
This certificate and the shares of stock represented hereby are issued and shall be held
subject to all of the provisions of the Amended and Restated Articles of Incorporation and Bylaws
of the Corporation, and all amendments thereto, copies of which are on file at the office of the
Transfer Agent, to all of which the holder, by accepting this certificate, assents.
This certificate is not valid unless countersigned and registered by the Transfer Agent and
Registrar.
Witness the facsimile seal of the Corporation and the facsimile signatures of its duly
authorized officers.
Dated: [ ]
COUNTERSIGNED AND REGISTERED
MELLON INVESTOR SERVICES LLC
TRANSFER AGENT AND REGISTRAR
By:
AUTHORIZED SIGNATURE
[SEAL]
[SIGNATURE]
PRESIDENT
[SIGNATURE]
SECRETARY
[REVERSE OF CERTIFICATE]
REINSURANCE GROUP OF AMERICA, INCORPORATED
THE COMPANY WILL FURNISH, WITHOUT CHARGE, TO EACH SHAREHOLDER WHO SO REQUESTS A STATEMENT OF
THE DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH
CLASS OF STOCK, OR SERIES THEREOF, WHICH THE COMPANY IS AUTHORIZED TO ISSUE AND THE QUALIFICATIONS,
LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS. ANY SUCH REQUEST IS TO BE ADDRESSED
TO THE SECRETARY OF THE COMPANY OR TO THE TRANSFER AGENT NAMED ON THE FACE OF THIS CERTIFICATE.
THIS CERTIFICATE ALSO EVIDENCES AND ENTITLES THE HOLDER HEREOF TO CERTAIN RIGHTS AS SET FORTH
IN A SECTION 382 RIGHTS AGREEMENT BETWEEN REINSURANCE GROUP OF AMERICA, INCORPORATED (THE
COMPANY) AND MELLON INVESTOR SERVICES LLC (OR ANY SUCCESSOR THERETO), AS RIGHTS AGENT, AS IT MAY
FROM TIME TO TIME BE SUPPLEMENTED OR AMENDED (THE RIGHTS AGREEMENT), THE TERMS OF WHICH ARE
INCORPORATED HEREIN BY REFERENCE AND A COPY OF WHICH IS ON FILE AT THE PRINCIPAL EXECUTIVE OFFICES
OF THE COMPANY. UNDER CERTAIN CIRCUMSTANCES, AS SET FORTH IN THE RIGHTS AGREEMENT, SUCH RIGHTS MAY
EXPIRE OR MAY BE REDEEMED, EXCHANGED OR BE EVIDENCED BY SEPARATE CERTIFICATES AND NO LONGER BE
EVIDENCED BY THIS CERTIFICATE. THE COMPANY WILL MAIL TO THE HOLDER OF THIS CERTIFICATE A COPY OF
THE RIGHTS AGREEMENT WITHOUT CHARGE PROMPTLY AFTER RECEIPT OF A WRITTEN REQUEST THEREFOR. UNDER
CERTAIN CIRCUMSTANCES, RIGHTS ISSUED TO OR HELD BY ACQUIRING PERSONS (AS DEFINED IN THE RIGHTS
AGREEMENT) AND ANY SUBSEQUENT HOLDER OF SUCH RIGHTS MAY BECOME NULL AND VOID.
THE TRANSFER OF SECURITIES REPRESENTED BY THIS CERTIFICATE IS (AND OTHER SECURITIES OF THE
CORPORATION MAY BE) SUBJECT TO RESTRICTION PURSUANT TO ARTICLE FOURTEEN OF THE CORPORATIONS
AMENDED AND RESTATED ARTICLES OF INCORPORATION. THE CORPORATION WILL FURNISH A COPY OF ITS AMENDED
AND RESTATED ARTICLES OF INCORPORATION SETTING FORTH THE POWERS, DESIGNATIONS, PREFERENCES AND
RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF
AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS TO THE HOLDER
OF RECORD OF THIS CERTIFICATE WITHOUT CHARGE UPON WRITTEN REQUEST ADDRESSED TO THE CORPORATION AT
ITS PRINCIPAL PLACE OF BUSINESS.
The following abbreviations, when used in the inscription on the face of this certificate,
shall be construed as though they were written out in full according to applicable laws or
regulations:
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TEN COM |
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as tenants in common |
TEN ENT
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as tenants by the entireties |
JT TEN
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as joint tenants with right of survivorship |
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and not as tenants in common |
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UNIF GIFT MIN ACT
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Custodian
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(Cust)
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(Minor)
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under Uniform Gifts to Minors |
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Act |
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(State)
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UNIF TRAN MIN ACT
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Custodian
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(Cust)
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(Minor)
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under Uniform Gifts to Minors |
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Act |
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(State)
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Additional abbreviations may also be used though not in the above list.
For Value Received, hereby sell, assign and transfer unto
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PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
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[ ]
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS OF ASSIGNEE)
[ ] Shares represented by the within certificate, and do hereby irrevocably constitute and appoint
[ ] Attorney to transfer the said shares on the books of the within-named Corporation with full
power of substitution in the premises.
Dated [ ]
[SIGNATURE]
NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF
THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.