SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
 
SCHEDULE 13E-3
(Rule 13e-100)
 
 
TRANSACTION STATEMENT UNDER SECTION 13(e) OF THE
SECURITIES EXCHANGE ACT OF 1934 AND RULE 13e-3 THEREUNDER
 
(Amendment No. 5)
 
Kansas City Life Insurance Company
 
 
(Name of the Issuer and Name of Person Filing Statement)
 
Common Stock, $1.25 par value per share
 
 
(Title of Class of Securities)
 
484836200
 
 
(CUSIP Number of Class of Securities)
 
A. Craig Mason, Jr.
Senior Vice President, General Counsel and Secretary
Kansas City Life Insurance Company
3520 Broadway
Kansas City, MO 64111
 
 
(Name, Address and Telephone Number of Persons Authorized to Receive Notices and Communications on Behalf of the Person(s) Filing Statement)
 
 
Copy to:
James W. Allen
Scott D. Claassen
Stinson Leonard Street LLP
1201 Walnut Street, Suite 2900
Kansas City, MO 64106
(816) 842-8600
 
This statement is filed in connection with (check the appropriate box):
 
a.
[X]
The filing of solicitation materials or an information statement subject to Regulation 14A, Regulation 14C, or Rule 13e-3(c) under the Securities Exchange Act of 1934.
     
b.
[  ]
The filing of a registration statement under the Securities Act of 1933.
     
c.
[  ]
 A tender offer.
     
d.
[  ]
None of the above.
     
 
 
 
 
 
 
 
 
Check the following box if the soliciting materials or information statement referred to in checking box (a) are preliminary copies: [   ]
 
Check the following box if the filing is a final amendment reporting the results of the transaction: [X]
 
CALCULATION OF FILING FEE
Transaction Valuation (*)
Amount of Filing Fee (**)
$47,591,250
$9,518.25
   
(*)
Calculated solely for purposes of determining the filing fee.  This amount assumes the acquisition of approximately 906,500 shares of common stock for $52.50 per share in cash in lieu of issuing fractional shares to holders of less than 250 shares of common stock immediately before the proposed reverse stock split.
 
(**)
The filing fee is calculated in accordance with Rule 0-11(b) by multiplying the Transaction Valuation of $47,591,250 by 0.0002.
 
[X]
Check the box if any part of the fee is offset as provided by Exchange Act 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: $2,063.25
Form or Registration No.: Schedule 13E-3 (File No. 005-17065)
Filing Party: Kansas City Life Insurance Company
Date Filed: August 4, 2015
* * *
Amount Previously Paid: $3,771.60
Form or Registration No.: Schedule 13E-3/A (File No. 005-17065)
Filing Party: Kansas City Life Insurance Company
Date Filed: October 21, 2015
* * *
Amount Previously Paid: $187.11
Form or Registration No.: Schedule 13E-3/A (File No. 005-17065)
Filing Party: Kansas City Life Insurance Company
Date Filed: November 13, 2015
 
 
 
 
 
 

 
 
RULE 13e-3 TRANSACTION STATEMENT
 
INTRODUCTION
 
This Amendment No. 5 amends and supplements the Rule 13e-3 Transaction Statement on Schedule 13E-3 (as amended, the "Schedule 13E-3") initially filed by Kansas City Life Insurance Company, a Missouri corporation (the "Company"), on August 4, 2015, as amended by Amendment No. 1 filed on September 1, 2015, Amendment No. 2 filed on September 15, 2015, Amendment No. 3 filed on October 20, 2015 and Amendment No. 4 filed on November 13, 2015, in connection with a transaction to terminate the registration of the shares of its common stock, $1.25 par value per share (the "Common Stock" or "Stock"), under the Securities Exchange Act of 1934, as amended (the "Exchange Act").  All information below should be read in conjunction with the information contained or incorporated by reference in the Schedule 13E-3.
 
This Amendment No. 5 to the Schedule 13E-3 is being filed pursuant to Rule 13e-3(d)(3) of the Exchange Act to report the results of the Rule 13e-3 transaction described below.
 
At a special meeting held on Tuesday, December 15, 2015, the Company's shareholders approved the following matters:
 
(1)
an amendment to the Company's Articles of Incorporation, whereby the Company will effect a 1-for-250 reverse stock split (the "Reverse Stock Split") of its Common Stock, and as a result of which each shareholder owning of record fewer than 250 shares of Stock before the Reverse Stock Split will have such shares cancelled and converted into the right to receive $52.50 for each such share of Stock in lieu of receiving a fractional post-Reverse Stock Split share of Stock; and
 
(2)
an amendment to the Company's Articles of Incorporation to take effect immediately following the Reverse Stock Split, whereby the Company will effect a 250-for-1 forward stock split (the "Forward Stock Split") of each one issued and outstanding share of its Common Stock (and including each fractional share of Stock in excess of one share).
 
On December 16, 2015, the Company filed with the Department of Insurance of the State of Missouri a Certificate of Amendment to the Company's Articles of Incorporation to effect the Reverse Stock Split and a Certificate of Amendment to the Company's Articles of Incorporation to effect the Forward Stock Split.  These Certificates of Amendment, and the Reverse Stock Split and Forward Stock Split that they contemplate, had an effective date of December 16, 2015.
 
As a result of the Reverse Stock Split, the number of stockholders of record of the Company's Stock has been reduced below 300, enabling the Company to terminate the registration of its Stock under the Exchange Act.  On January 7, 2016, the Company filed with the Securities and Exchange Commission a Form 15 with respect to its Stock for that purpose.  Upon the filing of such Form 15, the Company’s obligation to file periodic and current reports under the Exchange Act was immediately suspended.  We anticipate that deregistration of the Company’s Stock will be effective 90 days after the date of that filing, and thereupon the Company’s obligation to comply with the requirements of the proxy rules and to file proxy statements under Section 14 of the Exchange Act will be terminated.
 
As permitted by General Instruction J to Schedule 13e-3 appearing in Rule 13e-100 of the Exchange Act, information previously disclosed in the Company's Schedule 13e-3 has been omitted.
 
 
*    *    *
 
 
 
 
 
 
 
 
 
SIGNATURE
 
After due inquiry and to the best of its knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.
 

 
KANSAS CITY LIFE INSURANCE COMPANY
     
     
Dated: January 7, 2016
    
 
By:
/s/ R. Philip Bixby
   
R. Philip Bixby
   
President, CEO and Chairman of the Board
     

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