As filed with the Securities and Exchange Commission on May 8, 2015
Registration No. 333-
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM S-8
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
FIDELITY & GUARANTY LIFE
(Exact name of registrant as specified in its charter)
Delaware | 46-3489149 | |
(State or other jurisdiction of incorporation or organization) |
(I.R.S. Employer Identification Number) |
Two Ruan Center 601 Locust Street, 14th Floor Des Moines, IA 50309 |
50309 | |
(Address of Registrants Principal Executive Office) | (Zip Code) |
Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013,
by and between Fidelity & Guaranty Life and Kostas Cheliotis
Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013,
by and between Fidelity & Guaranty Life and Kevin J. Gregson
Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013,
by and between Fidelity & Guaranty Life and William P. Melchionni
(Full title of the plans)
Eric L. Marhoun, Esq.
Fidelity & Guaranty Life
Two Ruan Center
601 Locust Street, 14th Floor
Des Moines, IA 50309
(Name, address of agent for service)
(888) 697-5433
(Telephone number, including area code, of agent for service)
With copy to:
Ethan T. James, Esq.
Debevoise & Plimpton LLP
919 Third Avenue
New York, New York 10022
(212) 909-6000
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of large accelerated filer, accelerated filer and smaller reporting company in Rule 12b-2 of the Exchange Act.
Large accelerated filer | ¨ | Accelerated filer | ¨ | |||
Non-accelerated filer | x (Do not check if a smaller reporting company) | Smaller reporting company | ¨ |
CALCULATION OF REGISTRATION FEE
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Name of Plan | Title of Securities to be registered |
Amount to be registered (1) |
Proposed maximum offering price per share (5) |
Proposed maximum aggregate offering price |
Amount of registration fee | |||||
Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between Fidelity & Guaranty Life and Kostas Cheliotis |
common shares, par value $0.01 per share | 1,136(2) | $17 | $19,312 | $2.24 | |||||
Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between Fidelity & Guaranty Life and Kevin J. Gregson |
common shares, par value $0.01 per share | 3,408(3) | $17 | $57,936 | $6.73 | |||||
Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between Fidelity & Guaranty Life and William P. Melchionni |
common shares, par value $0.01 per share | 3,408(4) | $17 | $57,936 | $6.73 | |||||
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(1) | Pursuant to Rule 416(a) of the Securities Act of 1933, as amended, this Registration Statement shall also cover any additional shares of the Registrants common shares that become issuable under the Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between Fidelity & Guaranty Life and Kostas Cheliotis (the Cheliotis Option Agreement), the Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between Fidelity & Guaranty Life and Kevin J. Gregson (the Gregson Option Agreement) and the Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between Fidelity & Guaranty Life and William P. Melchionni (the Melchionni Option Agreement) by reason of any share dividend, share split, recapitalization or other similar transaction effected without receipt of consideration that increases the number of the Registrants outstanding common shares. |
(2) | The number of shares being registered represents shares issuable upon exercise of non-qualified stock options granted to Kostas Cheliotis on December 12, 2013 pursuant to the Cheliotis Option Agreement. |
(3) | The number of shares being registered represents shares issuable upon exercise of non-qualified stock options granted to Kevin J. Gregson on December 12, 2013 pursuant to the Gregson Option Agreement. |
(4) | The number of shares being registered represents shares issuable upon exercise of non-qualified stock options granted to William P. Melchionni on December 12, 2013 pursuant to the Melchionni Option Agreement. |
(5) | Computed pursuant to Rule 457(h) solely for purpose of determining the registration fee, with respect to the Cheliotis Option Agreement, the Gregson Option Agreement and the Melchionni Option Agreement, the $17 exercise price per share payable under the agreement. |
Part I
Information Required in the Section 10(a) Prospectus
Fidelity & Guaranty Life (the Company or Registrant) has prepared this Registration Statement in accordance with the requirements of Form S-8 under the Securities Act of 1933, as amended to register (a) 1,136 shares of common stock issuable upon exercise of non-qualified stock options granted to Kostas Cheliotis on December 12, 2013 pursuant to the Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between the Registrant and Kostas Cheliotis; (b) 3,408 shares of common stock issuable upon exercise of non-qualified stock options granted to Kevin J. Gregson on December 12, 2013 pursuant to the Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between the Registrant and Kevin J. Gregson; and (c) 3,408 shares of common stock issuable upon exercise of non-qualified stock options granted to William P. Melchionni on December 12, 2013 pursuant to the Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between the Registrant and William P. Melchionni.
Pursuant to the General Instruction E to Form S-8, this Registration statement incorporates by reference the contents of the Companys Registration Statement on Form S-8, filed with the Securities and Exchange Commission (SEC) on December 13, 2013, except as otherwise updated or modified in this Registration Statement.
Part II
Information Required in the Registration Statement
Item 3. | Incorporation of Certain Documents by Reference. |
The following documents previously filed with the SEC by the Registrant are incorporated herein by reference:
(1) | the Registrants Annual Report on Form 10-K (File No. 001-36227) for the fiscal year ended September 30, 2014 filed on November 19, 2014; |
(2) | the Registrants Annual Report on Form 10-K/A (File No. 001-36227) for the fiscal year ended September 30, 2014 filed on December 12, 2014; |
(3) | All other reports filed by the Registrant pursuant to Section 13(a) or 15(d) of the Exchange Act since September 30, 2014; and |
(5) | the description of the Registrants common shares contained in the Registrants Registration Statement on Form 8-A (File No. 001-36227) filed on December 6, 2013. |
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All documents filed by the Registrant pursuant to Sections 13(a), 13(c), 14 and 15(d) of the Securities Exchange Act of 1934, as amended (the Exchange Act) after the date of this Registration Statement and prior to the filing of a post-effective amendment to this Registration Statement that indicate that all securities offered hereby have been sold or that deregister all securities then remaining unsold (excluding any portions of such documents that have been furnished but not filed for purposes of the Exchange Act), shall be deemed to be incorporated by reference into this Registration Statement and to be a part hereof from the respective dates of filing of such documents.
Any statement contained in this Registration Statement or a document incorporated or deemed to be incorporated by reference in this Registration Statement will be deemed to be modified or superseded for purposes of this Registration Statement to the extent that a statement contained in this Registration Statement or in any other subsequently filed document that is deemed to be incorporated by reference in this Registration Statement modifies or supersedes the statement. Any statement so modified or superseded will not be deemed, except as so modified or superseded, to constitute a part of this Registration Statement.
Item 8. | Exhibits. |
The Exhibits accompanying this Registration Statement are listed on the accompanying Exhibit Index.
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SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Des Moines, Iowa on May 8, 2015.
Fidelity & Guaranty Life | ||
By: | /s/ Christopher J. Littlefield | |
Name: | Christopher J. Littlefield | |
Title: | President and Chief Executive Officer |
Pursuant to the requirements of the Securities Act of 1933, this Registration Statement has been signed on May 8, 2015 by the following persons in the capacities and on the dates indicated.
Signature |
Title | |||
/s/ Christopher J. Littlefield Christopher J. Littlefield |
President, Chief Executive Officer and Director (Principal Executive Officer) | |||
/s/ Dennis R. Vigneau Dennis R. Vigneau |
Executive Vice President and Chief Financial Officer (Principal Financial and Accounting Officer) | |||
*** Joseph S. Steinberg |
Chairman | |||
*** Omar M. Asali |
Director | |||
*** William J. Bawden |
Director | |||
*** James M. Benson |
Director | |||
*** Kevin J. Gregson |
Director |
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*** William P. Melchionni |
Director | |||
*** L. John H. Tweedie |
Director | |||
*** Thomas A. Williams |
Director |
*** By: | /s/ Eric L. Marhoun | |
Name: | Eric L. Marhoun | |
as Attorney-in-Fact |
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INDEX TO EXHIBITS
Exhibit |
Description | |
5.1 | Opinion of Debevoise & Plimpton LLP | |
23.1 | Consent of Debevoise & Plimpton LLP (included in Exhibit 5.1) | |
23.2 | Consent of Independent Registered Public Accounting Firm | |
24.1 | Powers of Attorney | |
99.1. | Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between Fidelity & Guaranty Life and Kostas Cheliotis | |
99.2 | Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between Fidelity & Guaranty Life and Kevin J. Gregson | |
99.3 | Non-Statutory Stock Option Agreement for Compensation Committee Member, dated December 12, 2013, by and between Fidelity & Guaranty Life and William P. Melchionni |
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