UNITED STATES
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
Delaware 23-2424711
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(State of incorporation or organization) (I.R.S. Employer
Identification No.)
1195 River Road, Marietta, PA 17547
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(Address of principal executive offices) (Zip Code)
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Securities to be registered pursuant to Section 12(b) of the Act:
Title of each class Name of each exchange on which
to be registered each class is to be registered
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None None
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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.[ ]
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.[X]
Securities Act registration statement file number to which this Form relates (if applicable): Not applicable.
Securities to be registered pursuant to Section 12(g) of the Act:
The following summary description is subject to the detailed provisions of the Registrant's Certificate of Incorporation, as amended, the proposed form of amendment to Article 4 of the Registrant's Certificate of Incorporation (the "Amendment") and the Registrant's Amended and Restated By-laws and does not purport to be complete and is qualified in its entirety by reference thereto.
Upon the effective date of the Amendment (the "Effective Date"), the authorized capital stock of the Registrant will consist of 30,000,000 shares of Class A Common Stock, par value $.01 per share (the "Class A Common Stock"), 10,000,000 shares of Class B Common Stock, par value $.01 per share (the "Class B Common Stock") and 2,000,000 shares of series preferred stock, par value $.01 per share. This Registration Statement relates to the registration under the Securities Exchange Act of 1934, as amended (the "Exchange Act"), of the shares of Class A Common Stock and Class B Common Stock.
On the Effective Date, each share of the Registrant's existing $1.00 par value per share common stock (the "Old Common Stock") of record at the close of business on April 19, 2001 will be reclassified and reverse split (the "Reverse Split") into one-third of a share of Class B Common Stock. The Registrant shall not issue any fractional shares of Class B Common Stock but, in lieu of such fractional interest, each holder of Old Common Stock who would otherwise be entitled to receive a fraction of a share of Class B Common Stock in the Reverse Split will receive cash in an amount equal to the closing sale price of a share of Old Common Stock on the Effective Date (adjusted if necessary to reflect the per share price of the Old Common Stock without giving effect to the Reverse Split) multiplied by the number of shares of Old Common Stock held by such holder that would otherwise have been exchanged for such fractional interest. Effective for holders of record of the Class B Common Stock as of the close of business on April 19, 2001, the Registrant's Board of Directors has declared a dividend (the "Stock Dividend") of two shares of Class A Common Stock for each share of Class B Common Stock held as of such record date. The Old Common Stock which is being reclassified as Class B Common Stock is registered under Section 12(g) of the Exchange Act and is currently quoted for trading on the Nasdaq National Market. The Registrant has applied for inclusion of the Class A Common Stock on the Nasdaq National Market so that both the Class A Common Stock and the Class B Common Stock will be quoted for trading on the Nasdaq National Market.
Voting
The holders of shares of Class A Common Stock are entitled to one-tenth of one vote per share held on any matter to be voted on by the stockholders of the Registrant, and the holders of shares of Class B Common Stock are entitled to one vote per share held on any matter to be voted on by the stockholders of the Registrant. Except as otherwise required under the Delaware General Corporation Law (the "DGCL") or the Registrant's Certificate of Incorporation, the holders of Class A Common Stock and the holders of Class B Common
Stock vote together as a single class on all matters to be voted upon by the stockholders of the Registrant.
Under the Certificate of Incorporation of the Registrant and the DGCL, only the affirmative vote of the holders of a majority in voting power represented by the Class A Common Stock and the Class B Common Stock, voting as a single class, is required to amend the Certificate of Incorporation, to authorize additional shares of capital stock of any class, to approve any merger or consolidation of the Registrant with or into any other corporation or the sale of all or substantially all of the Registrant's assets or to approve the dissolution of the Registrant.
At any election of directors, those nominees receiving the highest number of votes cast by the holders of the Class A Common Stock and the holders of Class B Common Stock for the number of directors to be elected, will be elected as directors. In addition, as permitted under the DGCL, the Registrant's Certificate of Incorporation provides that the number of authorized shares of Class A Common Stock or Class B Common Stock may be increased or decreased, but not below the number of shares then outstanding, by the affirmative vote of the holders of a majority in voting power represented by the Class A Common Stock and the Class B Common Stock voting as a single class.
Under the DGCL, the holders of shares of Class A Common Stock are entitled to vote as a separate class on any proposal to change the par value of the Class A Common Stock or to alter or change the rights, preferences and limitations of the Class A Common Stock in a way that would affect the holders of shares of Class A Common Stock adversely. Similarly, the holders of shares of Class B Common Stock are entitled to vote as a separate class on any proposal to change the par value of the Class B Common Stock or to alter or change the rights, preferences and limitations of the Class B Common Stock in a way that would affect the holders of shares of Class B Common Stock adversely.
Dividends and Distributions
Each share of Class A Common Stock outstanding at the time of the declaration of any dividend upon shares of Class B Common Stock is entitled to a dividend payable at the same time, to stockholders at the same record date, and in an amount 10% greater than any dividend declared upon each share of Class B Common Stock and dividends or other distributions payable on the Class A Common Stock and the Class B Common Stock in shares of capital stock will be made to all holders of Class A Common Stock and Class B Common Stock and may be made (1) in shares of Class A Common Stock to the holders of Class A Common Stock and in shares of Class B Common Stock to the holders of Class B Common Stock, (2) in shares of Class A Common Stock to the holders of Class A Common Stock and to the holders of Class B Common Stock or (3) in any other authorized class or series of capital stock to the holders of Class A Common Stock and to the holders of Class B Common Stock.
There are no redemption or sinking fund provisions applicable to the Class A Common Stock or to the Class B Common Stock. Holders of Class A Common Stock and
holders of Class B Common Stock are not subject to further calls or assessments by the Registrant.
Except as otherwise required by the DGCL or as otherwise provided in the Registrant's Certificate of Incorporation, each share of Class A Common Stock and each share of Class B Common Stock have identical powers, preferences and limitations in all respects.
Mergers and Consolidations
Each holder of Class A Common Stock and each holder of Class B Common Stock is entitled to receive the same per share consideration in a merger or consolidation of the Registrant into another entity.
Convertibility
Neither the Class A Common Stock nor the Class B Common Stock is convertible into another class of common stock or any other security of the Registrant.
Certain By-law Provisions; Delaware Anti-Takeover Provisions
The By-laws of the Registrant and the DGCL contain certain provisions that may enhance the likelihood of continuity and stability in the composition of the Board of Directors and may discourage a future unsolicited takeover of the Registrant. These provisions could have the effect of discouraging certain attempts to acquire the Registrant or remove incumbent management, including incumbent members of the Board of Directors, even if some of the Registrant's stockholders deemed such an attempt to be in their best interests.
The By-laws of the Registrant provide for a classified Board of Directors consisting of three classes as nearly equal in size as possible. The classification of the Board of Directors could have the effect of making it more difficult for a third party to acquire, or of discouraging a third party from acquiring, control of the Registrant.
The Registrant is a Delaware corporation and consequently is subject to certain anti-takeover provisions of the DGCL. The business combination provision contained in Section 203 of the DGCL ("Section 203") defines an interested stockholder of a corporation as any person that (i) owns, directly or indirectly, or has the right to acquire, 15% or more of the outstanding voting stock of the corporation or (ii) is an affiliate or associate of the corporation and was the owner of 15% or more of the outstanding voting stock of the corporation at any time within the three-year period immediately prior to the date on which it is sought to be determined whether such person is an interested stockholder; and the affiliates and the associates of such person. Under Section 203, a Delaware corporation may not engage in any business combination with any interested stockholder for a period of three years following the date such stockholder became an interested stockholder, unless (i) prior to such date the board of directors of the corporation approved either the business combination or the transaction which resulted in the stockholder becoming an interested stockholder, (ii) upon consummation of the transaction which resulted in the stockholder becoming an interested
stockholder, the interested stockholder owned at least 85% of the voting stock of the corporation outstanding at the time the transaction commenced (excluding, for determining the number of shares outstanding, (a) shares owned by persons who are directors and officers and (b) employee stock plans, in certain instances) or (iii) on or subsequent to such date the business combination is approved by the board of directors and authorized at an annual or special meeting of stockholders by at least 66-2/3% of the outstanding voting stock that is not owned by the interested stockholder. The restrictions imposed by Section 203 will not apply to a corporation if the corporation, by the action of its stockholders holding a majority of the outstanding stock, adopts an amendment to its certificate of incorporation or by-laws expressly electing not to be governed by Section 203 (such amendment will not be effective until 12 months after adoption and shall not apply to any business combination between such corporation and any person who became an interested stockholder of such corporation on or prior to such adoption).
The Registrant has not elected to opt out of Section 203, and the restrictions imposed by Section 203 apply to the Registrant. Section 203 could, under certain circumstances, make it more difficult for a third party to gain control of the Registrant, deny stockholders the receipt of a premium on their Class A Common Stock and Class B Common Stock and have a depressive effect on the market price of the Class A Common Stock and Class B Common Stock.
Donegal Mutual Insurance Company (the "Mutual Company") currently owns approximately 62% of the existing common stock, and after the Amendment, the Reverse Split and the Stock Dividend are implemented will own approximately 62% of the Class A Common Stock and the Class B Common Stock, and has and will continue to have effective voting control over the Company. Regardless of whether the Amendment is adopted and the Stock Dividend is implemented, the Mutual Company will maintain its ability in its sole discretion to maintain or dispose of its voting control of the Company. Implementation of the Amendment and the Stock Dividend is likely to limit to a greater degree than currently the already unlikely future circumstances in which a sale or transfer by the Mutual Company of its equity interest in the Company could lead to a merger proposal or tender offer that is not acceptable to the Mutual Company or a proxy contest for the removal of the Company's incumbent directors. Consequently, implementation of the Amendment and the Stock Dividend might reduce the possibility that stockholders of the Company will have an opportunity to sell their shares at a premium over prevailing market prices by reason of an acquisition of the Company and make it more difficult to replace the current Board of Directors and management of the Company.
Although the Company's Board of Directors currently intends to utilize the shares of Class A Common Stock to be authorized if the Amendment is approved solely for the purposes of raising additional equity capital and as consideration in possible future acquisitions, such shares could also be used by the Company's Board of Directors to dilute the equity ownership of persons seeking to obtain control of the Company, thereby possibly discouraging or deterring a non-negotiated attempt to obtain control of the Company and making removal of incumbent management more difficult. Because the Mutual Company owns approximately 62% of the Company's outstanding existing common stock and, after
approval of the Amendment and distribution of the Stock Dividend, will continue to own approximately 62% of the Company's Class B Common Stock, the likelihood of a non-negotiated attempt to obtain control of the Company is remote.
Registrant also incorporates by reference the description of the Class A Common Stock and Class B Common Stock contained in the Registrant's definitive proxy statement dated March 29, 2001.
Item 2. Exhibits.
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Exhibit No. Description of Exhibit
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1.1 Certificate of Incorporation of the Registrant, as amended,
(incorporated by reference to the like-described exhibit in
Registrant's Form 10-K Report for the year ended December 31,
1999).
1.2 Form of Certificate of Amendment and Restatement to the
Certificate of Incorporation of the Registrant. (filed
herewith)
2 Amended and Restated By-laws of the Registrant (incorporated
by reference to the like-described exhibit in the Registrant's
Form 10-Q Report for the quarter ended September 30, 1998).
3A Form of Specimen Stock Certificate for the Registrant's Class
A Common Stock, par value $.01 per share. (filed herewith)
3B Form of Specimen Stock Certificate for the Registrant's Class
B Common Stock, par value $.01 per share. (filed herewith)
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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.
DONEGAL GROUP INC.
Dated: April 5, 2001 By: /s/ Donald H. Nikolaus
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Donald H. Nikolaus,
President and Chief Executive Officer
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FORM OF AMENDMENT TO ARTICLE 4
OF THE CERTIFICATE OF INCORPORATION
OF DONEGAL GROUP INC.
Article 4 of the Certificate of Incorporation of Donegal Group Inc. (the "Corporation") is hereby amended so that, as amended, Article 4 shall read in its entirety as follows:
4. The aggregate number of shares of stock which the Corporation shall have authority to issue is 42,000,000 shares, consisting of (i) 30,000,000 shares of Class A Common Stock, par value $.01 per share (the "Class A Common Stock"), (ii) 10,000,000 shares of Class B Common Stock, par value $.01 per share (the "Class B Common Stock"), and (iii) 2,000,000 shares of Series Preferred Stock, par value $.01 per share (the "Preferred Stock"). At the time the Certificate of Amendment of the Corporation's Certificate of Incorporation becomes effective (the "Effective Time") pursuant to the General Corporation Law of the State of Delaware (the "DGCL"), and without any further action on the part of the Corporation or its stockholders, the Corporation's Common Stock, par value $1.00 per share, authorized and issued immediately prior to the Effective Time (the "Old Common Stock") shall be reclassified, converted and combined into shares of Class B Common Stock at the rate of one share of Class B Common Stock for each three shares of Old Common Stock (the "Reverse Split"); provided, however, that the Corporation shall not issue any fractional shares of Class B Common Stock but, in lieu of such fractional interest, each holder of Old Common Stock who would otherwise be entitled to receive a fraction of a share of Class B Common Stock in the Reverse Split will receive cash in an amount equal to the closing sale price of a share of Old Common Stock on the date on which the Effective Time occurs (adjusted if necessary to reflect the per share price of Old Common Stock without giving effect to the Reverse Split) multiplied by the number of shares of Old Common Stock held by such holder that would otherwise be exchanged for such fractional interest. At the Effective Time, the certificates representing shares of the Old Common Stock shall be deemed cancelled and shall not be recognized as outstanding on the books of the Corporation for any purpose.
(a) The powers, preferences and rights and the qualifications, limitations and restrictions of the Class A Common Stock and the Class B Common Stock, respectively, shall be as follows:
(i) Except as otherwise required by law or as otherwise provided in this Article 4, each share of Class A Common Stock and each share of Class B Common Stock shall be of equal rank and shall have identical powers, preferences, qualifications, limitations, restrictions and other rights.
(ii) Except as otherwise required by law or as otherwise provided in the Corporation's Certificate of Incorporation, with respect to all matters upon which the stockholders of the Corporation are entitled to vote, each holder of Class A Common Stock shall be entitled to one-tenth of one vote for each share of Class A Common Stock held and each holder of Class B Common Stock shall be entitled to one vote for each share
of Class B Common Stock held. Except as otherwise required by the DGCL or the Corporation's Certificate of Incorporation, the holders of Class A Common Stock and the holders of Class B Common Stock shall vote together as a single class on all matters to be voted upon by the stockholders of the Corporation.
(iii) Each share of Class A Common Stock outstanding at the time of the declaration of any dividend upon shares of Class B Common Stock shall be entitled to a dividend payable at the same time, to stockholders at the same record date, and in an amount 10% greater than any dividend declared upon each share of Class B Common Stock and dividends or other distributions payable on the Class A Common Stock and the Class B Common Stock in shares of capital stock shall be made to all holders of Class A Common Stock and Class B Common Stock and may be made (1) in shares of Class A Common Stock to the holders of Class A Common Stock and in shares of Class B Common Stock to the holders of Class B Common Stock, (2) in shares of Class A Common Stock to the holders of Class A Common Stock and to the holders of Class B Common Stock or (3) in any other authorized class or series of capital stock to the holders of Class A Common Stock and to the holders of Class B Common Stock.
(iv) Except as otherwise specifically provided under clause (a)(iii) above, the Corporation shall not split, divide or combine the shares of Class A Common Stock or Class B Common Stock unless, at the same time, the Corporation splits, divides or combines, as the case may be, the shares of both the Class A Common Stock and the Class B Common Stock in the same proportion and manner.
(v) In the event of a merger or consolidation of the Corporation with or into another entity (whether or not the Corporation is the surviving entity), the holders of Class A Common Stock and the holders of Class B Common Stock shall be entitled to receive the same per share consideration in such merger or consolidation, except that, if the consideration paid to the stockholder's of the Corporation shall consist in whole or in part of shares of another entity, the shares of such other entity issued to the holders of the Class B Common Stock may have greater voting rights than the shares of the other entity issued to the holders of the Class A Common Stock.
(b) The Preferred Stock may be issued from time to time by the Board of Directors of the Corporation as herein provided in one or more series. The designations, relative rights (including voting rights), preferences, limitations and restrictions of the Preferred Stock, and particularly of the shares of each series thereof, may, to the extent permitted by law, be similar to or may differ from those of any other series. The Board of Directors of the Corporation is hereby expressly granted authority, subject to the provisions of this Article 4, to issue from time to time Preferred Stock in one or more series and to fix from time to time before issuance thereof, by filing a certificate of designations pursuant to the DGCL, the number of shares in each such series and all designations, relative rights (including the right, to the extent permitted by law, to convert into shares of any class of capital stock or into shares of any series of any class of capital stock), preferences, limitations and restrictions of the shares in each such series. Notwithstanding anything to the contrary set forth above, the powers, preferences and rights, and the qualifications, limitations and restrictions, of the Preferred Stock shall be subject to the
following:
(i) Except as otherwise specifically provided in the certificate of designations filed under the DGCL with respect to any series of Preferred Stock, the number of authorized shares of any series of Preferred Stock may be increased or decreased (but not below the number of shares then outstanding) by the affirmative vote of the holders of a majority of the voting power of the stock of the Corporation entitled to vote irrespective of any other voting requirements set forth in Section 242(b)(2) of the DGCL, but subject in all events to compliance with the requirements of this Article 4.
(ii) All shares of Preferred Stock of the same series shall be identical in all respects, except that shares of any one series issued at different times may differ as to the dates, if any, from which dividends thereon, if any, may accumulate. All shares of Preferred Stock of all series shall be of equal rank and shall be identical in all respects, except that, to the extent not otherwise limited in this Article 4, any series may differ from any other series with respect to any one or more of the designations, relative rights, preferences, limitations and restrictions set forth in a certificate of designations filed under the DGCL with respect to any series.
(iii) Except as otherwise specifically provided in the certificate of designations filed pursuant to the DGCL with respect to any series of Preferred Stock or as otherwise provided by law, the Preferred Stock shall not have any right to vote for the election of directors or for any other purpose and the Class A Common Stock and the Class B Common Stock shall have the exclusive right to vote for the election of directors and for all other purposes. In all instances in which voting rights are granted to the Preferred Stock or any series thereof, such Preferred Stock or series thereof shall vote with the Class A Common Stock and the Class B Common Stock as a single class, except as otherwise provided in the certificate of designations filed pursuant to the DGCL with respect to any series of Preferred Stock or as otherwise provided by law.
(iv) In the event of any liquidation, dissolution or winding up of the Corporation, whether voluntary or involuntary, each series of Preferred Stock shall have preference and priority over the Class A Common Stock and the Class B Common Stock for payment of the amount to which each outstanding series of Preferred Stock shall be entitled in accordance with the provisions thereof and each holder of Preferred Stock shall be entitled to be paid in full such amount, or have a sum sufficient for the payment thereof in full set aside, before any payments shall be made to the holders of the Class A Common Stock and the Class B Common Stock. After the holders of the Preferred Stock of each series shall have been paid in full the amounts to which they respectively shall be entitled, or a sum sufficient for the payment thereof in full set aside, the remaining net assets of the Corporation shall be distributed pro rata to the holders of the Class A Common Stock and the Class B Common Stock in accordance with their respective rights and interests, to the exclusion of the holders of Preferred Stock. A consolidation or merger of the Corporation with or into another entity, or a sale, whether for cash, shares of stock, securities or properties, of all or substantially all of the assets of the Corporation, shall not be deemed or construed to be a liquidation, dissolution or winding up of the
Corporation within the meaning of this Article 4.
FORM OF SPECIMEN STOCK CERTIFICATE
FOR DONEGAL GROUP INC. CLASS A COMMON STOCK
NUMBER SHARES
DA-
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DONEGAL GROUP INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
Class A Common Stock
CUSIP 257701 20 1
SEE REVERSE FOR CERTAIN DEFINITIONS
DONEGAL GROUP INC. transferable only 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 is not valid unless countersigned and registered by the Transfer Agent and Registrar.
IN WITNESS WHEREOF, the Corporation has caused this certificate to be signed by its duly authorized officers.
Dated: /s/ Ralph G. Spontak /s/ Donald H. Nikolaus ------------------------------- -------------------------------- Ralph G. Spontak, Secretary Donald H. Nikolaus, President |
DONEGAL GROUP INC. CORPORATE SEAL
COUNTERSIGNED AND REGISTERED:
EQUISERVE TRUST CO., N.A.
TRANSFER AGENT AND REGISTRAR
[OTHER SIDE]
Donegal Group Inc.
THE CORPORATION WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO REQUESTS A FULL OR SUMMARY STATEMENT OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF AUTHORIZED TO BE ISSUED BY THE CORPORATION AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS.
SUCH REQUEST MAY BE MADE TO THE CORPORATION OR THE TRANSFER AGENT.
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 under Uniform Gifts to Minors
of survivorship and not as Act
tenants in common -------------------
(State)
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Additional abbreviations may also be used though not in the above list.
Please insert Social Security or Other
Identifying Number of Assignee
Please print or typewrite name and address including postal zip code of assignee
Dated,
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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.
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FORM OF SPECIMEN STOCK CERTIFICATE
FOR DONEGAL GROUP INC. CLASS B COMMON STOCK
NUMBER SHARES
DB-
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DONEGAL GROUP INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
Class B Common Stock
CUSIP 257701 10 2
SEE REVERSE FOR CERTAIN DEFINITIONS
DONEGAL GROUP INC. transferable only 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 is not valid unless countersigned and registered by the Transfer Agent and Registrar.
IN WITNESS WHEREOF, the Corporation has caused this certificate to be signed by its duly authorized officers.
Dated: /s/ Ralph G. Spontak /s/ Donald H. Nikolaus ------------------------------- -------------------------------- Ralph G. Spontak, Secretary Donald H. Nikolaus, President |
DONEGAL GROUP INC. CORPORATE SEAL
COUNTERSIGNED AND REGISTERED:
EQUISERVE TRUST CO., N.A.
TRANSFER AGENT AND REGISTRAR
[OTHER SIDE]
Donegal Group Inc.
THE CORPORATION WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO REQUESTS A FULL OR SUMMARY STATEMENT OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF AUTHORIZED TO BE ISSUED BY THE CORPORATION AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS.
SUCH REQUEST MAY BE MADE TO THE CORPORATION OR THE TRANSFER AGENT.
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 under Uniform Gifts to Minors
of survivorship and not as Act
tenants in common -------------------
(State)
|
Additional abbreviations may also be used though not in the above list.
Please insert Social Security or Other
Identifying Number of Assignee
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.
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