-----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, JkPUhgWAbUXo5dkkTp52JY3z7vqa+CrFDDn/5BR1Dph1MjjIb3MwCJZsGQjPUy/Y YFwrVVLda+xcaKscRoGH5w== 0000950109-96-004462.txt : 19960717 0000950109-96-004462.hdr.sgml : 19960717 ACCESSION NUMBER: 0000950109-96-004462 CONFORMED SUBMISSION TYPE: 8-A12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960716 SROS: NYSE FILER: COMPANY DATA: COMPANY CONFORMED NAME: FARM FAMILY HOLDINGS INC CENTRAL INDEX KEY: 0001013564 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 141789227 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-11941 FILM NUMBER: 96595468 BUSINESS ADDRESS: STREET 1: PO BOX 656 CITY: ALBANY STATE: NY ZIP: 12201 BUSINESS PHONE: 5184315000 MAIL ADDRESS: STREET 1: PO BOX 656 CITY: ALBANY STATE: NY ZIP: 12201 8-A12B 1 FORM 8-A SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 --------- FORM 8-A FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(b) OR 12 (g) OF THE SECURITIES EXCHANGE ACT OF 1934 FARM FAMILY HOLDINGS, INC. - ------------------------------------------------------------------------------ (Exact name of registrant as specified in its charter) Delaware 14-1789227 - ----------------------------- --------------------------------------------- (State of incorporation (I.R.S. employer or organization) identification no.) P.O. Box 656 Albany, New York 12201-0656 - ----------------------------- --------------------------------------------- (Address of principal (zip code) executive offices) If this Form relates to the If this Form relates to the registration of a registration of a class of class of debt securities and is to become debt securities and is effective simultaneously with the effective upon filing effectiveness of a concurrent registration pursuant to General statement under the Securities Act of 1933 Instruction A(c)(1) please pursuant to General Instruction A(c)(2) please check the following box. [_] check the following box. [_] Securities to be registered pursuant to Section 12(b) of the Act: Title of each class Name of each exchange on which to be so registered each class is to be registered ------------------- ------------------------------ Common Stock, $.01 par value New York Stock Exchange, Inc. Securities to be registered pursuant to Section 12(g) of the Act: None - ------------------------------------------------------------------------------ (Title of class) Item 1. Description of Registrant's Securities to be Registered. Farm Family Holdings, Inc., a corporation organized under the laws of the State of Delaware (the "Registrant"), is applying for registration of its Common Stock, par value $.01 per share (the "Common Stock"). Incorporated herein by reference is the description of the Common Stock which is set forth under the caption "Description of Capital Stock" in the preliminary prospectus contained within Post-Effective Amendment No. 2 to the Registration Statement on Form S-1 (File No. 333-4446) filed on June 19, 1996 with the Securities and Exchange Commission pursuant to the Securities Act of 1933, as amended (the "Securities Act"). Any description of the Common Stock included in a form of prospectus, if any, subsequently filed by the Registrant pursuant to Rule 424(b) under the Securities Act shall be deemed incorporated by reference into this registration statement on Form 8-A. Item 2. Exhibits. The Common Stock is to be registered on the New York Stock Exchange, Inc. ("NYSE"). Pursuant to Instruction II as to exhibits, the following exhibits are included with each copy of this registration statement to be filed with the NYSE. Exhibit Number Exhibit -------------- ------- 1. Post-Effective Amendment No. 2 to the Registration Statement on Form S-1 (File No. 333-4446) filed with the Securities and Exchange Commission on June 19, 1996. 2. None. 3. None. 4.1 Certificate of Incorporation of the Registrant. 4.2 By-laws of the Registrant. 5. Specimen of Certificate for shares of Common Stock of the Registrant. 6. None. -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. FARM FAMILY HOLDINGS, INC. By: /s/ Philip P. Weber ------------------- Philip P. Weber President and Chief Executive Officer Dated: July 15, 1996 -3- -----END PRIVACY-ENHANCED MESSAGE-----