Transaction valuation (1) | Amount of filing fee (2) | ||||
$294,196,417 | $16,417 | ||||
(1) | Calculated solely for purposes of determining the amount of the filing fee. The transaction valuation was calculated based on the purchase of all of the outstanding $293,000,000 aggregate principal amount of the issuers 3.50% Convertible Debentures due September 30, 2035 at the purchase price of $1,000 per $1,000 principal amount of such debentures plus accrued and unpaid interest to, but not including, November 13, 2009. | |
(2) | The amount of the filing fee was calculated at a rate of $55.80 per $1,000,000 of transaction value. |
þ | Check box if any part of the fee is offset as provided by Rule 0-11(a)(2) and identify the filing with which the offsetting fee was previously paid. Identify the previous filing by registration statement number, or the Form or Schedule and the date of its filing. |
Amount Previously Paid: $16,417
|
Filing Party: Conseco, Inc. | |
Form or Registration No.: Schedule TO-I
|
Date Filed: October 15, 2009 |
o | Check the box if the filing relates solely to preliminary communications made before the commencement of a tender offer. Check the appropriate boxes below to designate any transactions to which the statement relates: |
* | If applicable, check the appropriate box(es) below to designate the appropriate rule provision(s) relied upon: |
Item 5. Past Contracts, Transactions, Negotiations and Agreements. | ||||||||
Item 7. Source and Amount of Funds or Other Consideration. | ||||||||
SIGNATURE | ||||||||
EXHIBIT INDEX |
2
Exhibit | ||
Number | Description | |
(b)(2) | Indenture, dated as of October 16, 2009, between Conseco,
Inc. and The Bank of New York Mellon Trust Company, N.A.,
as trustee (incorporated by reference to Exhibit 4.1 to our
Current Report on Form 8-K filed on October 19, 2009). |
|
(b)(3) | Form of 7.0% Convertible Senior Debentures due 2016
(included in the Indenture filed as Exhibit (b)(2) hereto). |
3
CONSECO, INC. |
||||
By: | /s/ JOHN R. KLINE | |||
Name: | John R. Kline | |||
Title: | Senior Vice President and Chief Accounting Officer |
Exhibit | ||
Number | Description | |
(a)(1)(i) | Offer to Purchase, dated October 15, 2009.* |
|
(a)(1)(ii) | Letter of Transmittal (including Guidelines for
Certification of Taxpayer Identification Number on
Substitute Form W-9).* |
|
(a)(2) | None. |
|
(a)(3) | None. |
|
(a)(4) | None. |
|
(a)(5)(i) | Press Release, issued October 13, 2009, relating to the
private offering of new convertible debentures
(incorporated by reference to Exhibit (a)(5)(i) to the
Schedule TO-C (first filing) filed with the Commission on
October 14, 2009).* |
|
(a)(5)(ii) | Press Release, issued October 13, 2009, relating to the
proposed registered offering of common stock (incorporated
by reference to Exhibit (a)(5)(ii) to the Schedule TO-C
(first filing) filed with the Commission on October 14,
2009).* |
|
(a)(5)(iii) | Press Release, issued October 13, 2009, relating to the
private placement of our common stock and warrants
(incorporated by reference to Exhibit (a)(5)(iii) to the
Schedule TO-C (first filing) filed with the Commission on
October 14, 2009).* |
|
(a)(5)(iv) | Recent Developments from Preliminary Offering Memorandum
dated October 13, 2009 (incorporated by reference to
Exhibit (a)(5)(iv) to the Schedule TO-C (first filing)
filed with the Commission on October 14, 2009).* |
|
(a)(5)(v) | Risk Factors from Preliminary Offering Memorandum dated
October 13, 2009 (incorporated by reference to Exhibit
(a)(5)(v) to the Schedule TO-C (first filing) filed with
the Commission on October 14, 2009).* |
|
(a)(5)(vi) | Capitalization from Preliminary Offering Memorandum dated
October 13, 2009 (incorporated by reference to Exhibit
(a)(5)(vi) to the Schedule TO-C (first filing) filed with
the Commission on October 14, 2009).* |
|
(a)(5)(vii) | Press Release, dated October 14, 2009 (incorporated by
reference to Exhibit (a)(5) to the Schedule TO-C (second
filing) filed with the Commission on October 14, 2009).* |
|
(a)(5)(viii) | Press Release, dated October 15, 2009.* |
2
Exhibit | ||
Number | Description | |
(b)(1) | Purchase Agreement, dated as of October 14, 2009, by and
between Conseco and Morgan Stanley & Co. Incorporated.* |
|
(b)(2) | Indenture, dated as of October 16, 2009, between Conseco,
Inc. and The Bank of New York Mellon Trust Company, N.A.,
as trustee (incorporated by reference to Exhibit 4.1 to our
Current Report on Form 8-K filed on October 19, 2009). |
|
(b)(3) | Form of 7.0% Convertible Senior Debentures due 2016
(included in the Indenture filed as Exhibit (b)(2) hereto). |
|
(d)(1) | Indenture, dated as of August 15, 2005, between Conseco and
The Bank of New York Trust Company, N.A., as trustee
(incorporated by reference to Exhibit 4.4 to our Current
Report on Form 8-K filed on August 16, 2005).* |
|
(d)(2) | Registration Rights Agreement dated as of August 15, 2005
among Conseco and Goldman, Sachs & Co., Morgan Stanley &
Co. Incorporated and J.P. Morgan Securities, Inc., as
representatives of several purchasers of the Debentures
(incorporated by reference to Exhibit 4.5 to our Current
Report on Form 8-K filed on August 16, 2005).* |
|
(d)(3) | Conseco, Inc. Amended and Restated Long-Term Incentive Plan
(incorporated by reference to Annex B to our Proxy
Statement filed on April 23, 2009).* |
|
(d)(4) | Form of performance unit award agreement under the Conseco,
Inc. Amended and Restated Long-Term Incentive Plan
(incorporated by reference to Exhibit 10.22 of our
Quarterly Report on Form 10-Q for the quarter ended June
30, 2006).* |
|
(d)(5) | Form of executive stock option agreement under Conseco,
Inc. Amended and Restated Long-Term Incentive Plan
(incorporated by reference to Exhibit 10.14 of our Annual
Report on Form 10-K for the year ended December 31, 2005).* |
|
(d)(6) | Form of executive restricted stock agreement under Conseco,
Inc. Amended and Restated Long-Term Incentive Plan
(incorporated by reference to Exhibit 10.15 of our Annual
Report on Form 10-K for the year ended December 31, 2004).* |
|
(d)(7) | Section 382 Rights Agreement, dated as of January 20, 2009,
between Conseco and American Stock Transfer & Trust
Company, LLC, as Rights Agent (incorporated by reference to
Exhibit 1 of our registration statement on Form 8-A filed
on January 20, 2009).* |
|
(d)(8) | Stock and Warrant Purchase Agreement, dated as of October
13, 2009, by and between Conseco and Paulson (incorporated
by reference to Exhibit 10.1 of the Paulson 8-K filed on
October 13, 2009).* |
3
Exhibit | ||
Number | Description | |
(d)(9) | Form of Investor Rights Agreement by and among Conseco and
Paulson (incorporated by reference to Exhibit 10.2 of the
Paulson 8-K filed on October 13, 2009).* |
|
(d)(10) | Form of Warrant Certificate (incorporated by reference to
Exhibit 10.3 of the Paulson 8-K filed on October 13,
2009).* |
|
(g) | None. |
|
(h) | None. |
* | Previously filed |