-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, INR2fhr7KJ88+as6mMFypSgxkJBZFcqp9CoLfeJYnwF4Nb4yOWjxpOWtCix9SVqN IfPOqd4QrS2lV8Coh9k3sQ== 0000892251-97-000209.txt : 19971126 0000892251-97-000209.hdr.sgml : 19971126 ACCESSION NUMBER: 0000892251-97-000209 CONFORMED SUBMISSION TYPE: 8-A12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19971125 SROS: NYSE FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN FINANCIAL GROUP HOLDINGS INC CENTRAL INDEX KEY: 0001042046 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12B SEC ACT: SEC FILE NUMBER: 001-13653 FILM NUMBER: 97728110 BUSINESS ADDRESS: STREET 1: ONE EAST FOURTH STREET STREET 2: SUITE 919 CITY: CINCINNATI STATE: OH ZIP: 45202 BUSINESS PHONE: 513-579-25 MAIL ADDRESS: STREET 1: ONE EAST FOURTH STREET STREET 2: SUITE 919 CITY: CINCINNATI STATE: OH ZIP: 45202 8-A12B 1 FORM 8-A As filed with the Securities and Exchange Commission on November 25, 1997. 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 American Financial Group Holdings, Inc. - -------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) Ohio 31-1544320 - --------------------------------------- ------------------------------------ (State of incorporation or organization) (I.R.S. Employer Identification No.) One East Fourth Street Cincinnati, Ohio 45202 - -------------------------------------------------------------------------------- (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 each class is to be registered Common Stock, without par value 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. [x] If this Form relates to the registration of a class 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. [ ] Securities Act registration statement file number to which this form relates: 333-31427 (if applicable) Securities to be registered pursuant to Section 12(g) of the Act: None - -------------------------------------------------------------------------------- (Title of Class) INFORMATION REQUIRED IN REGISTRATION STATEMENT Item 1. Description of Registrant's Securities to be Registered. The Description of Common Stock is incorporated by reference to page 44 of Amendment No. 5 to the Registrant's Registration Statement on Form S-4, Registration No. 333-31427 filed October 29, 1997. Item 2. Exhibits. 2. Registration Statement No. 333-31427 filed on Form S-4 effective October 30, 1997. 4. Articles of Incorporation and Code of Regulations of American Financial Group, Inc. incorporated by reference to Exhibits 3.1 and 3.2 of Registration Statement No. 333-31427 filed on Form S-4 effective October 30, 1997. 5. Specimen of Common Stock certificate (filed herewith.) The Registrant's name will be changed to American Financial Group, Inc. 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. AMERICAN FINANCIAL GROUP HOLDINGS, INC. Date: November 25, 1997 BY: /s/James C. Kennedy --------------------------------- James C. Kennedy, Esq. Title: Secretary EXHIBIT 5 STOCK CERTIFICATE [FRONT] COMMON COMMON STOCK STOCK Without Par Value Without Par Value Number Shares This certificate is transferable CUSIP 025932 10 4 in Cincinnati, Ohio or in See reverse side for certain New York, New York definitions and other information AMERICAN FINANCIAL GROUP, INC. Organized under the laws of the State of Ohio This Certifies that____________________ is the registered holder of ___________ FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF American Financial Group, Inc., (hereinafter referred to as the "Corporation") 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 represented hereby are issued and shall be held subject to all of the provisions of the Articles of Incorporation and the Code of Regulations of the Corporation, as now or hereafter amended, (copies of which are on file with the Transfer Agent), to all of which the holder by acceptance hereof assents. This certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar. [SEAL] Dated:__________________ Countersigned and registered American Financial Group, Inc. By Transfer Agent /s/James C. Kennedy /s/Carl H. Lindner and Registrar Secretary Chairman of the Authorized Signature Board and Chief Executive Officer STOCK CERTIFICATE [BACK] AMERICAN FINANCIAL GROUP, INC. THE CORPORATION WILL MAIL WITHOUT CHARGE TO THE HOLDER HEREOF, WITHIN FIVE (5) DAYS AFTER RECEIPT OF WRITTEN REQUEST THEREFOR TO ITS SECRETARY OR TO THE TRANSFER AGENT, A COPY OF THE EXPRESS TERMS OF THE SHARES REPRESENTED HEREBY AND OF THE SHARES OF EACH OTHER CLASS OR CLASSES AND SERIES OF SHARES OF STOCK OF THE CORPORATION AUTHORIZED TO BE ISSUED. 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: TEN COM - as tenants in common UNIF GIFT MIN ACT - ..Custodian..... TEN ENT - as tenants by the entireties (Cust) (Minor) JT TEN - as joint tenants with right of Under Uniform Gifts survivorship and not as to Minors Act...... tenants in common (State) Additional abbreviations may also be used though not in the above list. For value received, _________________ hereby sell, assign and transfer unto [please insert Social Security or other identifying number of assignee] ________________________________ - -------------------------------------------------------------------------------- Please Print or Type Name and Address Including Postal Zip Code of Assignee - -------------------------------------------------------------------------------- - ------------------------------------------------------------------ Shares of the capital stock represented by the within Certificate, and do hereby irrevocably constitute and appoint---------------------------------------------------------- Attorney to transfer the said stock on the books of the within-named Corporation with full power of substitution in the premises. Dated, ______________________ ---------------------------------------- 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. -----END PRIVACY-ENHANCED MESSAGE-----