As filed with the Securities and Exchange Commission on February 13, 2004.
Registration No. 333-
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM S-8
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
BRISTOL WEST HOLDINGS, INC.
(Exact name of registrant as specified in its charter)
Delaware (State or other jurisdiction of incorporation or organization) |
13-3994449 (I.R.S. Employer Identification Number) |
|
5701 Stirling Road Davie, Florida 33314 (954) 316-5200 (Address, including zip code, and telephone number, including area code, of principal executive offices) |
1998 Stock Option Plan for Management and
Key Employees of Bristol West Holdings, Inc. and Subsidiaries
and
2004 Stock Incentive Plan for Bristol West Holdings, Inc. and Subsidiaries
(Full Title of the Plan)
Alexis S. Oster, Esq.
5701 Stirling Road
Davie, Florida 33314
(954) 316-5200
(Name, address, including zip code, and telephone number, including area code, of agent for service)
With a copies to:
John B. Tehan, Esq.
Gary L. Horowitz, Esq.
Simpson Thacher & Bartlett
425 Lexington Avenue
New York, New York 10017
CALCULATION OF REGISTRATION FEE
Title of each class of securities to be registered |
Amount to be registered |
Proposed maximum offering price per unit(a) |
Proposed maximum aggregate offering price(a) |
Amount of registration fee |
||||
---|---|---|---|---|---|---|---|---|
Common stock, no par value | 5,206,520 shares | $15.18 | $79,034,974 | $10,014 | ||||
INFORMATION REQUIRED IN THE SECTION 10(A) PROSPECTUS
Not required to be filed in this registration statement.*
Item 2. Registrant Information and Employee Plan Annual Information.
Not required to be filed in this registration statement.*
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PART II
INFORMATION REQUIRED IN THE REGISTRATION STATEMENT
Item 3. Incorporation of Documents by Reference.
The following documents that the registrant has filed with the Securities and Exchange Commission (the "Commission") pursuant to the Act, as amended (the "Exchange Act"), are hereby incorporated by reference in this registration statement:
All documents that the registrant subsequently files pursuant to Sections 13(a), 13(c), 14 and 15(d) of the Exchange Act after the date of this registration statement and prior to the filing of a post-effective amendment to this registration statement indicating that all securities offered have been sold or which deregisters all securities then remaining unsold, shall be deemed to be incorporated by reference into this registration statement and to be a part hereof from the date of filing of such documents. Any statement contained in a document incorporated or deemed to be incorporated by reference herein shall be deemed to be modified or superseded for purposes of this registration statement to the extent that a statement contained herein or in any other subsequently filed document which also is or is deemed to be incorporated by reference herein modifies or supersedes such statement. Any such statement so modified or superseded shall not be deemed, except as so modified or superseded, to constitute a part of this Registration Statement.
Item 4. Description of Securities.
Not applicable.
Item 5. Interests of Named Experts and Counsel.
Not applicable.
Item 6. Indemnification of Directors and Officers.
Bristol West Holdings, Inc. (the "Registrant") is a Delaware corporation. Section 145 of the Delaware General Corporation Law (the "DGCL") grants each corporation organized thereunder the power to indemnify any person who is or was a director, officer, employee or agent of a corporation or enterprise, against expenses, including attorneys' fees, judgments, fines and amounts paid in settlement actually and reasonably incurred by him in connection with any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative, other than an action by or in the right of the corporation, by reason of being or having been in any such capacity, if he acted in good faith in a manner reasonably believed to be in or not opposed to the best interests of the corporation, and, with respect to any criminal action or proceeding, had no reasonable cause to believe his conduct was unlawful.
Section 102(b)(7) of the DGCL enables a corporation in its certificate of incorporation or an amendment thereto to eliminate or limit the personal liability of a director to the corporation or its stockholders for monetary damages for violations of the directors' fiduciary duty of care, except (i) for any breach of the directors' duty of loyalty to the corporation or its stockholders, (ii) for acts or omissions not in good faith or which involve intentional misconduct or a knowing violation of law, (iii) pursuant to Section 174 of the DGCL (providing for liability of directors for unlawful payment of
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dividends or unlawful stock purchases or redemptions) or (iv) for any transaction from which a director derived an improper personal benefit.
The Registrant's Amended and Restated Certificate of Incorporation provides that except as otherwise provided by the DGCL, no director of the Registrant will be personally liable to the Registrant or its stockholders for monetary damages for breach of fiduciary duty as a director.
The Registrant's Amended and Restated Bylaws also provides that the Registrant will indemnify its directors and officers, as specified in its Amended and Restated Certificate of Incorporation. In addition, to the fullest extent permitted by the DGCL, the Registrant will indemnify any current or former director or officer of the Registrant and may, at the discretion of the board of directors, indemnify any current or former employee or agent of the Registrant against all expenses, judgments, fines and amounts paid in settlement actually and reasonably incurred by such director or officer in connection with any threatened, pending or completed action, suit or proceeding brought by or in the right of the Registrant or otherwise, to which he was or is a party by reason of his current or former position with the Registrant or by reason of the fact that he is or was serving, at the request of the Registrant, as a director, officer, partner, trustee, employee or agent of another corporation, partnership, joint venture or other enterprise.
The Registrant has also obtained officers' and directors' liability insurance, which insures against liabilities that officers and directors of the Registrant may, in such capacities, incur.
Item 7. Exemption from Registration Claimed.
Not applicable.
The following exhibits are filed as part of this Registration Statement:
Exhibit Number |
Description of Document |
|
---|---|---|
4.1 | Form of Certificate of Common Stock (incorporated by reference to Exhibit 4.1 of the registrant's Form S-1 Registration Statement No. 111259) | |
4.2 |
Registration Rights Agreement, dated as of July 10, 1998, between the Registrant and Bristol West Associates LLC (incorporated by reference to Exhibit 4.2 of the registrant's Form S-1 Registration Statement No. 111259) |
|
4.3 |
Shareholder Subscription Agreement, dated as of July 9, 1998, between the Registrant and Fisher Capital Corp. LLC (incorporated by reference to Exhibit 4.3 of the registrant's Form S-1 Registration Statement No. 111259) |
|
4.4 |
Sale Participation Agreement, dated as of July 9, 1998, among KKR Partners II, L.P., KKR 1996 Fund L.P., Bristol West Associates LLC and Fisher Capital Corp. LLC (incorporated by reference to Exhibit 4.4 of the registrant's Form S-1 Registration Statement No. 111259) |
|
4.5 |
Form of Stockholder Agreement for Senior Management (incorporated by reference to Exhibit 4.5 of the registrant's Form S-1 Registration Statement No. 111259) |
|
4.6 |
Form of Stockholder Agreement for Employees (incorporated by reference to Exhibit 4.6 of the registrant's Form S-1 Registration Statement No. 111259) |
|
4.7 |
Form of Sale Participation Agreement (incorporated by reference to Exhibit 4.7 of the registrant's Form S-1 Registration Statement No. 111259) |
|
5.1 |
Opinion of Simpson Thacher & Bartlett LLP |
|
23.1 |
Consent of Simpson Thacher & Bartlett LLP (included in Exhibit 5.1) |
|
23.2 |
Consent of Deloitte & Touche LLP |
|
24 |
Power of Attorney (included in the signature page to the registration statement) |
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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 Davie, state of Florida on February 13, 2004.
BRISTOL WEST HOLDINGS, INC. (Registrant) |
|||
By: |
/s/ JAMES R. FISHER |
||
Name: James R. Fisher Title: Chief Executive Officer |
KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears below hereby constitutes and appoints James R. Fisher, Randy Sutton and Alexis S. Oster or any of them, his true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for him and in his name, place and stead, in any and all capacities, in connection with this registration statement, to sign any and all amendments or supplements to the registration statement, including post-effective amendments, and to file the same, with all exhibits thereto, and other documents in connection therewith, with the Securities and Exchange Commission, and does hereby grant unto said attorneys-in-fact and agents, and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all intents and purposes as he might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact and agents, or any of them, or their or his substitutes, may lawfully do or cause to be done by virtue hereof.
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Pursuant to the requirements of the Securities Act of 1933, this registration statement has been signed below by the following persons in the capacities indicated on the 13th day of February, 2004.
Signature |
Title |
|
---|---|---|
/s/ JAMES R. FISHER James R. Fisher |
Chairman, Chief Executive Officer Director (Principal Executive Officer) | |
/s/ RANDY SUTTON Randy D. Sutton |
Chief Financial Officer (Principal Financial Officer) |
|
/s/ MARIA AGUILERA Maria E. Aguilera |
Controller |
|
/s/ PERRY GOLKIN Perry Golkin |
Director |
|
/s/ TODD A. FISHER Todd A. Fisher |
Director |
|
/s/ SCOTT C. NUTTALL Scott C. Nuttall |
Director |
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