SECURITIES AND EXCHANGE COMMISSION
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Washington, D.C. 20549
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FORM S-8
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REGISTRATION STATEMENT
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Under
The Securities Act of 1933
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Employers Holdings, Inc.
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(Exact Name of Registrant as Specified in Its Charter)
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NEVADA
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04-3850065
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(State or Other Jurisdiction of
Incorporation or Organization)
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(I.R.S. Employer
Identification No.)
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10375 Professional Circle
Reno, Nevada
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89521
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(Address of Registrant's Principal Executive Offices)
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(ZIP Code)
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Employers Holdings, Inc. Amended and Restated Equity and Incentive Plan
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(Full Title of the Plan)
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Lenard T. Ormsby, Esq.
Executive Vice President, Chief Legal Officer and General Counsel
Employers Holdings, Inc.
10375 Professional Circle
Reno, Nevada 89521
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(Name and Address of Agent For Service)
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(888) 682-6671
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(Telephone Number, Including Area Code, of Agent For Service)
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Copies to:
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Susan J. Sutherland, Esq.
David C. Ingles, Esq.
Skadden, Arps, Slate, Meagher & Flom LLP
Four Times Square
New York, New York 10036
(212) 735-3000
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Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a small reporting company. See definitions of "large accelerated filer," "accelerated filer" "non-accelerated filer," and "smaller reporting company" in Rule 12b-2 of the Exchange Act. (Check one):
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Large accelerated filer þ
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Accelerated filer o | Non-accelerated filer o | Smaller reporting company o |
Title of Securities
To Be Registered
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Amount To Be
Registered (1)
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Proposed Maximum Offering Price Per Share (2)
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Proposed Maximum Aggregate Offering Price
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Amount Of Registration Fee
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Common Stock, par value $0.01 per share
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3,500,000 shares
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$15.09
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$52,815,000.00
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$3,765.71
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(a)
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the Company's annual report on Form 10-K for the fiscal year ended December 31, 2009, including the Company's audited consolidated financial statements for the fiscal year ended December 31, 2009;
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(b)
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the description of the Common Stock contained in the Company's Registration Statement on Form 8-A, filed on January 4, 2007 pursuant to the Securities Exchange Act of 1934, as amended (the ''Exchange Act''); and
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(c)
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all other reports filed by the Company pursuant to Section 13(a) or 15(d) of the Exchange Act since the end of the fiscal year covered by the audited financial statements described in (a) above.
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Exhibit
No.
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Description of Exhibit
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4.1
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Employers Holdings, Inc. Amended and Restated Equity and Incentive Plan (previously filed as Exhibit 10.1 to the Company's Current Report on Form 8-K filed with the SEC on May 28, 2010, and incorporated by reference herein)
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5.1
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Opinion of Lenard T. Ormsby, Esq.
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23.1
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Consent of Lenard T. Ormsby, Esq. (included in the opinion filed as Exhibit 5.1 hereto)
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23.2
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Consent of Ernst & Young LLP, Independent Registered Public Accounting Firm
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23.3
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Consent of Towers Watson & Co. (as successor to Towers, Perrin, Forster & Crosby, Inc.)
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24.1
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Powers of Attorney (reference is made to the signature page hereto)
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EMPLOYERS HOLDINGS, INC.
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By:
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/s/ Douglas D. Dirks
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Douglas D. Dirks
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President and Chief Executive Officer
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Signature
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Title
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Date
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/s/ Robert J. Kolesar
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Chairman of the Board
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August 5, 2010
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Robert J. Kolesar
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President and Chief Executive Officer,
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/s/ Douglas D. Dirks
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Director (Principal Executive Officer)
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August 5, 2010
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Douglas D. Dirks
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Executive Vice President and Chief
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Financial Officer (Principal Financial
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/s/ William E. Yocke
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and Accounting Officer)
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August 5, 2010
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William E. Yocke
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/s/ Richard W. Blakey
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Director
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August 5, 2010
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Richard W. Blakey
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/s/ Valerie R. Glenn
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Director
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August 5, 2010
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Valerie R. Glenn
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/s/ Rose E. McKinney-James
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Director
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August 5, 2010
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Rose E. McKinney-James
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Signature
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Title
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Date
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/s/ Ronald F. Mosher
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Director
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August 5, 2010
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Ronald F. Mosher
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/s/ Katherine W. Ong
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Director
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August 5, 2010
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Katherine W. Ong
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/s/ Michael D. Rumbolz
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Director
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August 5, 2010
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Michael D. Rumbolz
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/s/ John P. Sande, III
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Director
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August 5, 2010
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John P. Sande, III
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/s/ Martin J. Welch
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Director
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August 5, 2010
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Martin J. Welch
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Exhibit
No.
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Description of Exhibit
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4.1
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Employers Holdings, Inc. Amended and Restated Equity and Incentive Plan (previously filed as Exhibit 10.1 to the Company's Current Report on Form 8-K filed with the SEC on May 28, 2010, and incorporated by reference herein)
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5.1
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Opinion of Lenard T. Ormsby, Esq.
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23.1
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Consent of Lenard T. Ormsby, Esq. (included in the opinion filed as Exhibit 5.1 hereto)
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23.2
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Consent of Ernst & Young LLP, Independent Registered Public Accounting Firm
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23.3
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Consent of Towers Watson & Co. (as successor to Towers, Perrin, Forster & Crosby, Inc.)
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24.1
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Powers of Attorney (reference is made to the signature page hereto)
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