-----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, OXN5gJ9rA3nCOcSfd/1zgUycTkZ3RSPh9BA7pW4mxPJ0Zmm1wCGDjvVzC6OqI2Un RIpIWZC4JTRYRsPTS+GmBA== 0000950134-97-007539.txt : 19971119 0000950134-97-007539.hdr.sgml : 19971119 ACCESSION NUMBER: 0000950134-97-007539 CONFORMED SUBMISSION TYPE: 8-A12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19971021 SROS: NYSE FILER: COMPANY DATA: COMPANY CONFORMED NAME: BEVERLY ENTERPRISES INC /DE/ CENTRAL INDEX KEY: 0000812305 STANDARD INDUSTRIAL CLASSIFICATION: 8051 IRS NUMBER: 954100309 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12B SEC ACT: SEC FILE NUMBER: 001-09550 FILM NUMBER: 97698585 BUSINESS ADDRESS: STREET 1: 5111 ROGERS AVE STREET 2: STE 40 A CITY: FORT SMITH STATE: AR ZIP: 72919-0155 BUSINESS PHONE: 5014526712 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NEW BEVERLY HOLDINGS INC CENTRAL INDEX KEY: 0001040441 STANDARD INDUSTRIAL CLASSIFICATION: 8051 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12B SEC ACT: SEC FILE NUMBER: 001-09550-2B FILM NUMBER: 97698586 BUSINESS ADDRESS: STREET 1: 5111 ROGERS AVE STREET 2: SUITE 40-A CITY: FORT SMITH STATE: AR ZIP: 72903 BUSINESS PHONE: 5014526712 MAIL ADDRESS: STREET 1: 511 ROGERS AVE STREET 2: SUITE 40-A CITY: FORT SMITH STATE: AR ZIP: 72903 8-A12B 1 FORM 8-A 12(B) 1 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 BEVERLY ENTERPRISES, INC. NEW BEVERLY HOLDINGS, INC. ---------------------------------------------------- (Exact name of registrants as specified in their charters) Delaware 95-4100309 Delaware 62-1691861 ------------------------ ------------------- (State of incorporation (I.R.S. Employer or organization) Identification No.) 5111 Rogers Avenue, Suite 40-A Fort Smith, Arkansas 72919 ------------------------------------------------- (Address of principal executive offices) (zip code) See Table of Additional Co-Registrants Attached 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 9% Senior Notes due 2006 New York Stock Exchange Securities to be registered pursuant to Section 12(g) of the Act: None ------------------ (Title of class) 2 TABLE OF ADDITIONAL CO-REGISTRANTS
(STATE OR OTHER JURISDICTION OF INCORPORATION OR (I.R.S. EMPLOYER (EXACT NAME OF CO-REGISTRANT AS SPECIFIED IN ITS CHARTER) ORGANIZATION) IDENTIFICATION NO.) --------------------------------------------------------- ---------------- ------------------- A-1 Home Health Services, Inc. ............................. Georgia 58-1935144 A.B.C. Health Equipment Corp................................ New York 13-3043192 AdviNet, Inc................................................ Delaware 71-0758986 AGI-Camelot, Inc............................................ Missouri 43-1253376 AGI-McDonald County Health Care, Inc........................ Missouri 43-1253385 Amco Medical Service, Inc................................... Texas 75-1288363 American Transitional Care Dallas -- Ft. Worth, Inc......... Texas 76-0322331 American Transitional Hospitals of East Tennessee, Inc. .... Delaware 62-1704901 American Transitional Health Care, Inc...................... Delaware 76-0292237 American Transitional Hospitals, Inc........................ Delaware 76-0232151 American Transitional Hospitals of Indiana, Inc............. Indiana 35-1903972 American Transitional Hospitals of Oklahoma, Inc............ Oklahoma 74-2689039 American Transitional Hospitals of Tennessee, Inc........... Tennessee 62-1562740 American Transitional Hospitals -- Texas Medical Center, Inc....................................................... Delaware 71-0779078 ATH -- Clear Lake, Inc...................................... Delaware 71-0776296 ATH Columbus, Inc........................................... Delaware 71-0776295 ATH Del Oro, Inc............................................ Texas 62-1578954 ATH Heights, Inc............................................ Texas 76-0442017 ATH -- Little Rock, Inc. ................................... Delaware 62-1682209 ATH -- Memphis, Inc. ....................................... Delaware 62-1682212 ATH Oklahoma City, Inc...................................... Oklahoma 73-1465199 ATH Tucson, Inc............................................. Arizona 71-0765364 Beverly Assisted Living, Inc................................ Delaware 71-0777901 Beverly -- Bella Vista Holding, Inc. ....................... Delaware 71-0797481 Beverly Health and Rehabilitation Services, Inc............. California 95-2301514 Beverly Enterprises -- Alabama, Inc......................... California 95-3742145 Beverly Enterprises -- Arizona, Inc......................... California 95-3750871 Beverly Enterprises -- Arkansas, Inc........................ California 95-3751272 Beverly Enterprises -- California, Inc...................... California 95-3750879 Beverly Enterprises -- Colorado, Inc........................ California 95-3750882 Beverly Enterprises -- Connecticut, Inc..................... California 95-3849642 Beverly Enterprises -- Delaware, Inc........................ California 95-3849628 Beverly Enterprises -- Distribution Services, Inc........... California 95-4081567 Beverly Enterprises -- District of Columbia, Inc............ California 95-3750889 Beverly Enterprises -- Florida, Inc......................... California 95-3742251 Beverly Enterprises -- Garden Terrace, Inc.................. California 95-3849648 Beverly Enterprises -- Georgia, Inc......................... California 95-3750880 Beverly Enterprises -- Hawaii, Inc.......................... California 95-3750890 Beverly Enterprises -- Idaho, Inc........................... California 95-3750886 Beverly Enterprises -- Illinois, Inc........................ California 95-3750883 Beverly Enterprises -- Indiana, Inc......................... California 95-3744258 Beverly Enterprises -- Iowa, Inc............................ California 95-3751271 Beverly Enterprises -- Kansas, Inc.......................... California 95-3751269 Beverly Enterprises -- Kentucky, Inc........................ California 95-3750894 Beverly Enterprises -- Louisiana, Inc....................... California 95-3849633 Beverly Enterprises -- Maine, Inc........................... California 95-3849627 Beverly Enterprises -- Maryland, Inc........................ California 95-3750892
2 3
(STATE OR OTHER JURISDICTION OF INCORPORATION OR (I.R.S. EMPLOYER (EXACT NAME OF CO-REGISTRANT AS SPECIFIED IN ITS CHARTER) ORGANIZATION) IDENTIFICATION NO.) --------------------------------------------------------- ---------------- ------------------- Beverly Enterprises -- Massachusetts, Inc................... California 95-3750893 Beverly Enterprises -- Michigan, Inc........................ California 95-3898661 Beverly Enterprises -- Minnesota, Inc....................... California 95-3742698 Beverly Enterprises -- Mississippi, Inc..................... California 95-3742144 Beverly Enterprises -- Missouri, Inc........................ California 95-3750895 Beverly Enterprises -- Montana, Inc......................... California 95-3849636 Beverly Enterprises -- Nebraska, Inc........................ California 95-3750873 Beverly Enterprises -- Nevada, Inc.......................... California 95-3750896 Beverly Enterprises -- New Hampshire, Inc................... California 95-3849630 Beverly Enterprises -- New Jersey, Inc...................... California 95-3750884 Beverly Enterprises -- New Mexico, Inc...................... California 95-3750869 Beverly Enterprises -- North Carolina, Inc.................. California 95-3642257 Beverly Enterprises -- North Dakota, Inc.................... California 95-3751270 Beverly Enterprises -- Ohio, Inc............................ California 95-3750867 Beverly Enterprises -- Oklahoma, Inc........................ California 95-3849624 Beverly Enterprises -- Oregon, Inc.......................... California 95-3750881 Beverly Enterprises -- Pennsylvania, Inc.................... California 95-3750870 Beverly Enterprises -- Rhode Island, Inc.................... California 95-3849621 Beverly Enterprises -- South Carolina, Inc.................. California 95-3750866 Beverly Enterprises -- Tennessee, Inc....................... California 95-3742261 Beverly Enterprises -- Texas, Inc........................... California 95-3744256 Beverly Enterprises -- Utah, Inc............................ California 95-3751089 Beverly Enterprises -- Vermont, Inc......................... California 95-3750885 Beverly Enterprises -- Virginia, Inc........................ California 95-3742694 Beverly Enterprises -- Washington, Inc...................... California 95-3750868 Beverly Enterprises -- West Virginia, Inc................... California 95-3750888 Beverly Enterprises -- Wisconsin, Inc....................... California 95-3742696 Beverly Enterprises -- Wyoming, Inc......................... California 95-3849638 Beverly Enterprises International Limited................... California 95-3982125 Beverly Enterprises Medical Equipment Corporation........... California 95-3849617 Beverly Holdings I, Inc..................................... Delaware 71-0768985 Beverly Manor Inc. of Hawaii................................ California 99-0144750 Beverly -- Missouri Valley Holding, Inc. ................... Delaware 71-0797485 Beverly -- Rapid City Holding, Inc. ........................ Delaware 71-0797483 Beverly Real Estate Holdings, Inc........................... Delaware 71-0768984 Beverly Savana Cay Manor, Inc............................... California 95-4217381 Columbia-Valley Nursing Home, Inc........................... Ohio 34-1262298 Commercial Management, Inc.................................. Iowa 42-0891358 Continental Care Centers of Council Bluffs, Inc............. Iowa 41-1413442 Forest City Building Ltd.................................... Missouri 43-1102460 Hallmark Convalescent Homes, Inc............................ Michigan 41-1413478 Home Medical Systems, Inc................................... Delaware 23-2271050 HomeCare Preferred Choice, Inc. ............................ Delaware 62-1702864 Hospice Preferred Choice, Inc............................... Delaware 71-0761314 Hospital Facilities Corporation............................. California 95-2499218 Kenwood View Nursing Home, Inc. ............................ Kansas 48-6111286 Liberty Nursing Homes, Incorporated......................... Virginia 54-0784334 MATRIX HealthCare Network, Inc. ............................ Delaware 16-1702866 MATRIX Rehabilitation, Inc. ................................ Delaware 71-0783147 Medical Arts Health Facility of Lawrenceville, Inc. ........ Georgia 58-1329700
3 4
(STATE OR OTHER JURISDICTION OF INCORPORATION OR (I.R.S. EMPLOYER (EXACT NAME OF CO-REGISTRANT AS SPECIFIED IN ITS CHARTER) ORGANIZATION) IDENTIFICATION NO.) --------------------------------------------------------- ---------------- ------------------- Moderncare of Lumberton, Inc. .............................. North Carolina 56-1217025 Nebraska City S-C-H, Inc. .................................. Nebraska 41-1413481 Nursing Home Operators, Inc. ............................... Ohio 34-0949279 Petersen Health Care, Inc. ................................. Florida 59-2043392 Salem No. 1, Inc. .......................................... Missouri 43-1130257 South Alabama Nursing Home, Inc. ........................... Alabama 95-3809397 South Dakota -- Beverly Enterprises, Inc. .................. California 95-3750887 Spectra Healthcare Alliance, Inc. .......................... Delaware 71-0759298 Synergos, Inc. ............................................. California 33-0203515 Synergos -- Scottsdale, Inc. ............................... Arizona 94-3085083 TMD Disposition Company..................................... Florida 59-3151568 Vantage Healthcare Corporation.............................. Delaware 35-1572998
4 5 Item 1: Description of Registrant's Securities to be Registered. The description of such securities is hereby incorporated by reference to the material set forth under the caption "Description of the Senior Notes" in the Prospectus/Consent Solicitation Statement which constitutes a part of the Registration Statement on Form S-4, File Nos. 333-35137 and 333-35137-01, under the Securities Act of 1933, as amended (the "Registration Statement"). Item 2: Exhibits.
Exhibit Number Description - - ------ ----------- 3.1 -- Certificate of Incorporation of New Beverly Holdings, Inc. dated April 15, 1997 (incorporated by reference to Exhibit 3.1 to New Beverly Holdings, Inc.'s Registration Statement on Form S-1 filed June 4, 1997 (File No. 333-28521)). 3.2 -- Amended Certificate of Incorporation of New Beverly Holdings, Inc. dated May 29, 1997 (incorporated by reference to Exhibit 3.2 to New Beverly Holdings, Inc.'s Registration Statement on Form S-1 filed June 4, 1997 (File No. 333-28521)). 3.3 -- Bylaws of New Beverly Holdings, Inc. (incorporated by reference to Exhibit 3.4 to New Beverly Holdings, Inc.'s Registration Statement on Form S-1 filed June 4, 1997 (File No. 333-28521)). 4.1 -- Indenture dated as of February 1, 1996 between Beverly Enterprises, Inc. and Chemical Bank, as Trustee, with respect to Beverly Enterprises, Inc.'s 9% Senior Notes due February 15, 2006 (incorporated by reference to Exhibit 4.1 to Beverly Enterprises, Inc.'s Annual Report on Form 10-K for the year ended December 31, 1995). 4.2 -- Form of Second Supplemental Indenture dated , 1997 between Beverly Enterprises, Inc., New Beverly Holdings, Inc., certain subsidiaries of Beverly Enterprises, Inc. as guarantors and The Chase Manhattan Bank, as Trustee, with respect to Beverly's 9% Senior Notes due February 15, 2006 (incorporated by reference to Exhibit 4.2 to Beverly Enterprises, Inc.'s and New Beverly Holdings, Inc.'s (and additional Co-Registrants') Registration Statement on Form S-4 filed on September 8, 1997 (File Nos. 333-25137 and 333-35137-01)). 4.3 -- Indenture dated as of March 15, 1983 between Beverly Enterprises and Manufacturers Hanover Trust Company, Trustee with respect to Beverly's 7 5/8% Convertible Subordinated Debentures due March 15, 2003 (incorporated by reference to Exhibit 4.2 to Beverly's Registration Statement on Form S-3 dated March 10, 1983 (File No. 2-82266)).
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. FOR THE REGISTRANTS SET FORTH IN THE FACING PAGE AND ON THE TABLE OF ADDITIONAL CO-REGISTRANTS By: /s/ Scott Tabakin Name: Scott Tabakin Title: Executive Vice President, Chief Financial Officer and Director Date: October 21, 1997 6 INDEX TO EXHIBITS
Exhibit Number Description - - ------ ----------- 3.1 -- Certificate of Incorporation of New Beverly Holdings, Inc. dated April 15, 1997 (incorporated by reference to Exhibit 3.1 to New Beverly Holdings, Inc.'s Registration Statement on Form S-1 filed June 4, 1997 (File No. 333-28521)). 3.2 -- Amended Certificate of Incorporation of New Beverly Holdings, Inc. dated May 29, 1997 (incorporated by reference to Exhibit 3.2 to New Beverly Holdings, Inc.'s Registration Statement on Form S-1 filed June 4, 1997 (File No. 333-28521)). 3.3 -- Bylaws of New Beverly Holdings, Inc. (incorporated by reference to Exhibit 3.4 to New Beverly Holdings, Inc.'s Registration Statement on Form S-1 filed June 4, 1997 (File No. 333-28521)). 4.1 -- Indenture dated as of February 1, 1996 between Beverly Enterprises, Inc. and Chemical Bank, as Trustee, with respect to Beverly Enterprises, Inc.'s 9% Senior Notes due February 15, 2006 (incorporated by reference to Exhibit 4.1 to Beverly Enterprises, Inc.'s Annual Report on Form 10-K for the year ended December 31, 1995). 4.2 -- Form of Second Supplemental Indenture dated , 1997 between Beverly Enterprises, Inc., New Beverly Holdings, Inc., certain subsidiaries of Beverly Enterprises, Inc. as guarantors and The Chase Manhattan Bank, as Trustee, with respect to Beverly's 9% Senior Notes due February 15, 2006 (incorporated by reference to Exhibit 4.2 to Beverly Enterprises, Inc.'s and New Beverly Holdings, Inc.'s (and additional Co-Registrants') Registration Statement on Form S-4 filed on September 8, 1997 (File Nos. 333-25137 and 333-35137-01)). 4.3 -- Indenture dated as of March 15, 1983 between Beverly Enterprises and Manufacturers Hanover Trust Company, Trustee with respect to Beverly's 7 5/8% Convertible Subordinated Debentures due March 15, 2003 (incorporated by reference to Exhibit 4.2 to Beverly's Registration Statement on Form S-3 dated March 10, 1983 (File No. 2-82266)).
-----END PRIVACY-ENHANCED MESSAGE-----