United States Securities and Exchange Commission Washington, D.C. 20549 FORM 10-QSB (Mark One) [X] Quarterly Report Pursuant to Section 14 or 15(d) of the Securities Exchange Act of 1934 for the Period Ended September 30, 1999 or [ ] Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the Transition Period From to . Commission file number : NOT ASSIGNED FIRST AMERICAN CAPITAL CORPORATION (exact name of registrant as specified in its charter) Kansas 48-1187574 (State or other jurisdiction of (I.R.S. Employer Identification incorporation or organization) number) 3360 S.W. Harrison Street, Suite 100 Topeka, Kansas 66611 (Address of principal executive offices) (Zip Code) (785) 267-7077 (Registrant's telephone number, including area code) Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities and Exchange Act of 1934 during the preceding 12 months (or for such shorter periods that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes [X] No [ ] Applicable Only to Corporate Insurers Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practical date. Common Stock, No Par Value - 5,468,860 shares as of November 10, 1999 FIRST AMERICAN CAPITAL CORPORATION INDEX TO FORM 10-QSB Part I. FINANCIAL INFORMATION Page No. Item 1. Financial Statements: Condensed Consolidated Balance Sheets at September 30, 1999 and September 30, 1998 1 Condensed Consolidated Statements of Operations for the three months ended September 30, 1999 and 1998 and for the nine months ended September 30, 1999 and 1998 3 Condensed Consolidated Statements of Cash Flows for the nine months ended September 30, 1999 and 1998 4 Notes to Condensed Consolidated Financial Statements 5 Management's Discussion and Analysis of Financial Condition and Results of Operations 8 Part II. Item 1. Legal Proceedings Item 2. Changes in Securities Item 3. Defaults upon Senior Securities Item 4. Submission of Matters to a Vote of Security Holders Item 5. Other Information Item 6. Exhibits and Reports on Form 8-K Signatures FIRST AMERICAN CAPITAL CORPORATION CONDENSED CONSOLIDATED BALANCE SHEETS September 30, December 31, 1999 1998 (Unaudited) Assets: Investments: Short-term investments $ 10,776,472 $ 10,718,261 ------------- ------------- Total investments 10,776,472 10,718,261 Cash and cash equivalents 683,715 624,919 Accrued investment income 70,273 53,444 Deferred policy acquisition costs (net of amortization of $116,483 in 1999 and $229 in 1998) 502,819 13,119 Federal income tax recoverable 15,072 - Other prepaid expenses 20,422 7,921 Office furniture and equipment, less accumulated depreciation of $27,102 and $17,005 in 1999 and 1998, respectively 34,783 30,843 Leasehold improvements (net of accumulated amortization of $3,400 and $2,738 in 1999 and 1998, respectively) - 662 Advances to agents 117,935 54,585 Other assets (see note E) 32,417 5,257 ------------- ------------- Total Assets $ 12,253,908 $ 1,509,011 ============= ============= See notes to condensed consolidated financial statements. FIRST AMERICAN CAPITAL CORPORATION CONDENSED CONSOLIDATED BALANCE SHEETS (continued) September 30, December 31, 1999 1998 (Unaudited) Liabilities and Shareholders' Equity Policy and contract liabilities: Life policy reserves $ 277,228 $ 5,494 Deposits on pending policy applications 206,797 9,554 Policyholder premium deposits 59,273 - Reinsurance premiums payable 13,496 - ------------- ------------- Total policy and contract liabilities 556,794 15,048 Federal income taxes payable 105,548 8,721 Commissions, salaries, wages and benefits payable 46,374 2,832 Accounts payable to affiliate 12,719 15,129 Accounts payable and accrued expenses 33,764 26,443 ------------- ------------- Total liabilities 755,199 68,173 Shareholders' equity: Preferred stock, 6% non-cumulative convertible callable, $5.00 par and liquidation value; 550,000 shares authorized; 160 and 541,506 outstanding at September 30, 1999 and December 31, 1998, respectively - 2,707,530 Common stock, $.10 par value, 8,000,000 shares authorized; 2,720,000 shares issued and 5,468,860 outstanding at September 30, 1999 and 2,720,000 shares issued and 3,261,500 outstanding at December 31, 1998 546,886 326,150 Additional paid in capital 12,237,925 9,600,478 Retained earnings-deficit (1,284,102) (1,191,320) Less: 20,000 treasury shares held at cost (2,000) (2,000) ------------- ------------- Total shareholders' equity 11,498,709 11,440,838 ------------- ------------- Total liabilities and shareholders' equity $ 12,253,908 $ 11,509,011 ============= ============= See notes to condensed consolidated financial statements. FIRST AMERICAN CAPITAL CORPORATION CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS Three months ended Nine months ended September 30, September 30, September 30, September 30, 1999 1998 1999 1998 (Unaudited) (Unaudited) (Unaudited) (Unaudited) Revenues Premium Income $ 250,042 $ - $ 784,155 $ - Net Investment Income 134,451 101,104 408,105 219,746 ----------- ----------- ----------- ----------- Total revenue 384,493 101,104 1,192,260 219,746 Benefits and expenses Increase in policy reserves 55,091 - 271,734 - Interest credited on premium deposit funds 372 - 1,728 - Commissions 147,857 - 457,066 - Policy acquisition costs deferred (213,372) - (655,955) - Amortization of deferred policy acquisition costs 56,070 - 166,255 - Agency expenses 35,414 - 74,393 - Salaries, wages and employee benefits 160,770 137,566 518,383 340,966 Professional fees 19,215 12,557 56,492 19,882 Administrative fees - related party 14,413 6,000 43,837 18,000 Premium tax expense 5,241 - 13,488 - Rent 8,237 7,917 24,073 23,753 Depreciation and amortization 3,796 2,384 10,759 5,524 Other expenses 64,650 28,288 200,934 111,283 ----------- ----------- ----------- ----------- Total benefits and expenses 357,754 194,712 1,183,187 519,408 ----------- ----------- ----------- ----------- Income from operations 26,739 (93,608) 9,073 (299,662) ----------- ----------- ----------- ----------- Federal income taxes 31,801 1,308 101,855 6,290 ----------- ----------- ----------- ----------- Net income/(loss) $ (5,062) $ (94,916) $ (92,782) $ (305,952) =========== =========== =========== =========== Net income/(loss) per common share - basic and diluted $ - $ (0.03) $ (0.02) $ (0.10) =========== =========== =========== =========== See notes to condensed consolidated financial statements. FIRST AMERICAN CAPITAL CORPORATION CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS Nine months ended September 30, September 30, 1999 1998 (Unaudited) (Unaudited) Cash flows provided/(used) in operating activities: Net loss $ (92,782) $ (305,952) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation 10,097 4,674 Amortization of leasehold improvements 662 850 Amortization of deferred acquisition costs 166,255 - Changes in operating assets and liabilities Accrued investment income (16,829) (66,386) Prepaid expenses (12,501) 2,141 Advances to agents (63,350) (11,466) Federal income tax recoverable (15,072) - Other assets (27,160) (1,346) Policy liabilities 541,746 - Federal income taxes payable 96,827 (993) Commissions, salaries, wages and benefits payable 43,542 (107,687) Accounts payable to affiliate (2,410) 13,406 Accounts payable and accrued expenses 7,321 (5,328) ------------ ------------ Net cash provided/(used) in operating activities 636,346 (478,087) Cash flows used in investing activities: Deferred policy acquisition costs (655,955) - Maturity of short-term investments - - Purchase of short-term investments (58,211) (5,164,112) Capital expenditures - office equipment (14,037) (17,559) ------------ ------------ Net cash used in investing activities (728,203) (5,181,671) Cash flows provided by financing activities: Proceeds from public stock offering 209,850 7,331,700 Cost of public stock offering (59,197) (771,491) ------------ ------------ Net cash provided by financing activities 150,653 6,560,209 Increase in cash and cash equivalents 58,796 900,451 Cash and cash equivalents beginning of period 624,919 120,658 ------------ ------------ Cash and cash equivalents at end of period $ 683,715 $ 1,021,109 ============ ============ See notes to condensed consolidated financial statements. FIRST AMERICAN CAPITAL CORPORATION NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS September 30, 1999 (A) Basis of Presentation The accompanying condensed consolidated financial statements of First American Capital Corporation and its Subsidiaries ( the "Company") for the nine month period ended September 30, 1999 and 1998 are unaudited. However, in the opinion of the Company, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been reflected therein. Certain financial information which is normally included in financial statements prepared in accordance with generally accepted accounting principles, but which is not required for interim reporting purposes, has been omitted. The accompanying condensed consolidated financial statements should be read in conjunction with the financial statements and notes thereto included in the Company's Form 10-SB for the fiscal year ended December 31, 1998. Certain reclassifications have been made in the prior period financial statements to conform with the current year presentation. (B) Subsidiary Operations The Company's wholly owned subsidiary, First Life America Corporation ("FLAC"), results of operations are included in the condensed consolidated financial information for the nine month periods ending September 30, 1999 and 1998. The Company's venture capital subsidiary, First Capital Venture Inc. ("FCVI"), has not been capitalized or commenced operations. (C) Developmental Stage Activities The Company was in the developmental stage until insurance operations commenced in November of 1998. The Company raised $13,750,000 through a Kansas intra-state public stock offering. The offering commenced on March 11, 1997 and was completed on January 11, 1999. Subsequent to the completion of the offering, one stock subscription was refunded in the amount of $2,500 or 100 units. Test marketing of the insurance products began in November of 1998 and full insurance operations began upon the completion of the offering. (D) Investments The carrying value of short-term investments approximates their fair value. At September 30, 1999 and December 31, 1998, the fair value of short-term investments was $10,776,472 and $10,718,261, respectively. (E) Other assets Included in "Other assets" at September 30, 1999 is a $25,000 deposit that the company placed in escrow with Columbian Title Insurance Company to purchase approximately seven acres of land in Topeka, Kansas for $325,000. Tests and surveys have been completed and closing will occur no later than December 1, 1999. Management is currently considering the construction of a home office building on a portion of the land, however, no definite plans have been determined. (F) Deferred Policy Acquisition Costs Certain costs related to the acquisition of life insurance have been deferred to the extent recoverable from future policy revenues and gross profits. These acquisition costs are being amortized over the premium paying period of the related policies. (G) Net Loss Per Common Share In 1997, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards ("SFAS") No. 128, "Earnings per Share". SFAS No. 128 replaced the calculation of primary and fully diluted earnings per share with basic and diluted earnings per share. Unlike primary earnings per share, basic earnings per share excludes any dilutive effects of convertible securities. Diluted earnings per share is very similar to fully diluted earnings per share. The net loss per share amounts for all periods have been presented to conform to the SFAS 128 requirements for basic earnings per share. The diluted earnings per share amounts are not presented as the effect of inclusion of the conversion of preferred stock to common stock would be antidilutive. Net loss per common share is based upon the weighted average number of common shares outstanding each period. For the nine months ended September 30, 1999 and 1998, all shares are assumed to be outstanding for the entire period. The weighted average outstanding common shares were 5,468,860 in 1999 and 2,993,683 in 1998. (H) Federal Income Taxes The company does not file a consolidated federal income tax return with FLAC. FLAC is taxed as a life insurance company under the provisions of the Internal Revenue Code and must file a separate tax return for its initial six years of existence. At September 30, 1999 and 1998 estimated Federal Income Tax expense was $101,855 and $6,290, respectively. The Federal Income Tax expense at September 30, 1999 included $584 of current tax expense and $101,271 of deferred tax expense, and September 30, 1998 included $6,290 of current tax expense and no deferred tax expense. Deferred federal income taxes reflect the impact of "temporary differences" between the amount of assets and liabilities for financial reporting purposes and such amounts as measured by tax laws and regulations. (I) Related Party Transactions Effective December 31, 1998, the Company entered into a service agreement with FLAC to provide personnel, facilities, and services to FLAC. The services to be performed pursuant to the service agreement are underwriting, claim processing, accounting, processing and servicing of policies, and other services necessary to facilitate FLAC's business. The agreement is in effect until either party provides ninety days written notice of termination. Under the agreement, FLAC pays monthly fees based on life premiums delivered by FLAC. The percentages are 25% of first year life premiums; 40% of second year life premiums; 30% of third year premiums 20% of fourth year life premiums and 10% of life premiums in years five and thereafter. FLAC will retain general insurance expenses related to its sales agency, such as agent training and licensing, agency meeting expenses, and agent's health insurance. Pursuant to the terms of the agreement, FLAC had incurred expenses of $198,888 for the nine months ended September 30, 1999. The Company has contracted with First Alliance Corporation ("FAC") of Lexington, Kentucky to provide underwriting and accounting services for FLAC and the Company. Under the terms of the management agreement, the Company pays fees based on a percentage of delivered premiums of FLAC. The percentages are 5.5% for first year premiums; 4% of second year premiums; 3% of third year premiums; 2% of fourth year premiums, 1% of fifth year premiums and 1% for years six through ten for ten year policies and .5% in years six through twenty for twenty year policies. Pursuant to the agreement, the Company incurred $43,837 of management fees during the nine months ended September 30, 1999. FAC also owns approximately 9.9% of the Company's outstanding common shares. (J) Concentrations of Credit Risk The Company minimizes credit risk by investing in U.S. Treasury obligations and certificates of deposit. Certain certificates of deposit exceed the maximum insurance protection of $100,000 provided by the Federal Deposit Insurance Corporation ("FDIC"). However, the principal of those certificates of deposit which exceed $100,000 is protected through additional insurance. The Company has not experienced any losses in such accounts and believes it is not exposed to any significant credit risk on cash and cash equivalents. (K) Conversion of Preferred Stock The public offering was sold in units consisting of one share of common and one share of preferred stock. Each preferred share was convertible into four shares of common stock. A subscriber could elect, at the time of the sale, to convert their shares of preferred stock to shares of common stock prior to the issuance of stock certificates. The subscriber was allowed to revoke this conversion during a six month period starting on the date the offering was completed. The offering was completed on January 11, 1999 and conversions were allowed until July 11, 1999. On July 11, 1999, substantially all of the preferred shareholders converted their preferred shares to common shares. (L) Segment Information The segment data that follows has been prepared in accordance with Statement of Financial Accounting Standards ("SFAS") No. 131, "Disclosures about Segments of an Enterprise and Related Information." SFAS No. 131. requires a "management approach" (how management internally evaluates the operating performance of its business units) in the presentation of business segments. The operations of the Company and its subsidiaries have been classified into two operating segments as follows: life and annuity insurance operations and corporate operations. Segment information as of September 30, 1999 and December 31, 1998 and for the nine months ended September 30, 1999 and 1998 is as follows: Three months ended Nine months ended September 30, September 30, September 30, September 30, 1999 1998 1999 1998 (Unaudited) (Unaudited) (Unaudited) (Unaudited) Revenues: Life and annuity insurance operations $ 288,333 $ 17,442 $ 898,404 $ 51,752 Corporate operations 96,160 83,662 293,856 167,994 ----------- ----------- ----------- ----------- Total revenue $ 384,493 $ 101,104 $ 1,192,260 $ 219,746 =========== =========== =========== =========== Investment Income: Life and annuity insurance operations $ 38,292 $ 17,442 $ 114,242 $ 51,752 Corporate operations 96,160 83,662 293,856 167,994 ----------- ----------- ----------- ----------- Total revenue $ 134,452 $ 101,104 $ 408,098 $ 219,746 =========== =========== =========== =========== Income (loss)before income taxes: Life and annuity insurance operations $ 120,777 $ 12,702 $ 329,401 $ 45,906 Corporate operations (94,038) (106,310) (320,328) (345,568) ----------- ----------- ----------- ----------- Total revenue $ 26,739 $ (93,608) $ 9,073 $ (299,662) =========== =========== =========== =========== Depreciation and amortization expense: Life and annuity insurance operations $ 56,070 $ - $ 166,255 $ - Corporate operations 3,796 2,384 10,759 5,524 ----------- ----------- ----------- ----------- Total revenue $ 59,866 $ 2,384 $ 177,014 $ 5,524 =========== =========== =========== =========== Segment asset information as of September 30, 1999 and December 31, 1998. 1999 1998 (unaudited) Assets: Life and annuity insurance operations $ 4,036,646 $ 3,113,186 Corporate operations 8,217,262 8,395,825 ------------- ------------- Total $ 12,253,908 $ 11,509,011 ============= ============= MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS This report includes "forward-looking statements" within the meaning of Section 21E of the Securities Exchange Act of 1934. All statements other than statements of historical fact included in this Report regarding the Company's financial position, business strategy, and plans and objectives of management of the Company for future operations, are forward-looking statements. Although the Company believes the expectations reflected in such forward-looking statements are reasonable, it can give no assurance that such expectations will prove to have been correct. Important factors that could cause the results, performance (financial or operating) or achievements expressed or implied by such forward-looking statements include, without limitation, the market acceptance of the Company's newly-created annuity and insurance products, the accuracy of the Company's assumptions as to expected mortality, lapse rates and other factors in developing the pricing and other terms of its life insurance products, interest rate fluctuations, its ability to attract, train and retain agents to market its insurance products, its ability to comply with all applicable governmental regulations, competition in the insurance business and changes in general economic conditions. The following discussion should be read in conjunction with the condensed consolidated financial statements and notes thereto. Results of Operations The Company completed a Kansas intra-state offering on January 11, 1999 raising total capital of $13,750,000. The offering, which commenced on March 11, 1997, provided capital to form a wholly owned life insurance subsidiary, First Life America Corporation ("FLAC"); form a venture capital subsidiary, First Capital Venture, Inc. ("FCVI") and provide working and acquisition capital. FLAC commenced insurance operations on a limited basis in November of 1998. In January of 1999, FLAC began full insurance operations. Until the marketing of life insurance began, the Company was in the development stage. Comparisons of operations between the three month periods ended September 30, 1999 and 1998 and the nine month periods ended September 30, 1999 and 1998 are not comparable since insurance operations did not begin until November of 1998. Revenues for the three months ended September 30, 1999 totaled $384,493 as compared to $101,104 for the same period of 1998. For the nine months ended September 30, 1999 and 1998, revenues totaled $1,192,260 and $219,746, respectively. Revenues include life insurance premium and net investment income. Premium income for the three months ended September 30, 1999 and the nine month period ended September 30, 1999 totaled $250,042 and $784,155, respectively. There was not any premium income during the nine months ended September 30, 1998. Net investment income increased from $219,746 for the nine months ended September 30, 1998 to $408,105 for the same period during 1999. Now that the public offering is completed, a larger invested asset base exits which creates greater investment earnings. Additionally, cash provided through the sale of insurance has also been invested. Benefits and expenses totaled $1,183,187 for the nine months ended September 30, 1999. Results for 1999 included expenses related to insurance operations such as reserves, agency expenses and premium taxes. There were not any insurance related expenses incurred during 1998. For the nine months ended September 30, 1999, the increase in life insurance reserves totaled $271,734. These reserves are actuarially determined based on such factors as insured age, life expectancy, mortality and interest assumptions. As more life insurance is written these reserves will continue to increase. Commission expense totaled $457,066 for the nine months ended September 30, 1999. The commission expense is based on a percentage of premium and is determined in the product design. Acquisition costs which are related to the sale of insurance are capitalized and amortized over the premium paying period of the associated policies. These costs include commissions and management fees incurred in the first policy year. For the first nine months of 1999, $655,955 of these costs have been capitalized as Policy Acquisition Deferred. The related amortization for the same period totaled $166,255. Premium taxes, which totaled $13,488 for the nine months ended September 30, 1999, are incurred as a percentage of premium collected and payable to the Kansas Department of Insurance. Agency expenses are costs associated with the recruiting, training, development and incentives of the sales agents as well as marketing costs. These costs totaled $74,393 for the nine months ended September 30, 1999. Salaries, wages and employee benefits increased from $340,966 to $518,383 for the nine month periods ended September 30, 1998 and 1999, respectively. Additional personnel have been hired for the administration of life insurance operations. Professional fees increased to $56,492 from $19,882 for the nine months ended September 30, 1999 and 1998, respectively. This increase is related to accounting and legal fees associated with the registration of the Company's securities with the Securities and Exchange Commission. Administrative fees- related party are fees paid to First Alliance Corporation, a shareholder of the Company. These fees are for underwriting and accounting services. During the first nine months of 1999, these fees totaled $43,837 as compared to $18,000 for the first nine months of 1998. Consolidated Financial Condition The following comparisons involve capital transactions from December 31, 1998 to September 30, 1999: Total assets increased from $11,509,011 at December 31, 1998 to $12,253,908 at September 30, 1999. Both short-term investments and cash and cash equivalents have increased from December 31, 1998. This is due to the growth of the insurance operations during the period from December 31, 1998 to September 30, 1999. A significant portion of the cash and cash equivalents is held in certificates of deposits with three month maturities. Deferred policy acquisition costs, net of amortization, increased from $13,119 at December 31, 1998 to $502,819 at September 30, 1999 resulting from the capitalization of acquisition expenses related to the sale of life insurance. Liabilities increased to $755,199 at September 30, 1999 from $68,173 at December 31, 1998. Life insurance related policy liabilities are the primary reason for this increase. Policy reserves established due to the sale of life insurance totaled $556,794 at September 30, 1999. Policy reserves at December 31, 1998 totaled $15,048 due to limited insurance marketing during 1998. Federal income taxes payable are primarily the due to deferred taxes established based on timing differences between income recognized for financial statements and taxable income for the Internal Revenue Service. These deferred taxes are based on the operations of FLAC. Liquidity FLAC's insurance operations generally receive adequate cash flow from premium collections and investment income to meet their obligations. Insurance policy liabilities are primarily long-term and generally are paid from future cash flows. The Company's invested assets are readily marketable and highly liquid. Year 2000 Concerns A growing concern is the ability of computer systems to accurately process date calculations in the year 2000 and beyond. The problem arises from the initial design of date values which only recognize a two digit year value. As a result, a computer may interpret a date entered for the year 2000 as the year 1900. Any computer system that performs date comparisons and calculations is exposed to such a problem. These systems are typically referred to as information technology systems ("ITS") or computer based systems. Another concern is microchips which may also be encoded with a two digit date value. These microchips are typically found in such office equipment as facsimile machines and telephone systems. These systems are referred to as non-information technology systems ("NITS"). The Company's primary exposure to any business interruption would be the result of an ITS failure. The life insurance industry relies heavily on date sensitive calculations in daily operations. The inability to process transactions could be detrimental to the Company's ability to continue operations. The Company out-sources its primary computer processing system through Navisys, Inc. of Saint Louis, Missouri. Navisys has assured the Company that its hardware and software systems have been modified to eliminate any potential year 2000 problems. Testing is scheduled to be completed by mid year 1999. Evaluation of internal hardware and software is being performed. However, management does not believe that a failure of these internal systems would cause an interruption of business. Additionally, a NITS failure would not substantially disrupt operations. The costs to address year 2000 issues have been and will continue to be relatively insignificant for the Company. All of the major costs related to the insurance processing system have been borne by Navisys. Internally, year 2000 issues may require the replacement of such items as personal computers and facsimile machines, however these are not expected to cause any significant financial impact. The ultimate risk of the year 2000 issue is the Company's inability to continue as a going concern in the event of major computer system failure. The impact could alter, not only the Company's ability to transact business, but also global financial systems. Even though the Company is confident that these issues will not cause significant internal problems, a danger exists regarding the lack of preparedness of consumers and other institutions, including federal and state government. The Company has developed contingency plans to address any system failure related to the year 2000. These plans are currently being tested. Part II. Item 1. Legal Proceedings Not Applicable Item 2. Changes in Securities and Use of Proceeds Not Applicable Item 3. Defaults upon Senior Securities Not Applicable Item 4. Submission of Matters to a Vote of Security Holders Not Applicable Item 5. Other Information Not Applicable Item 6. Exhibits and Reports on Form 8-K Exhibits - None Form 8-K The Company did not file any reports on Form 8-K during the nine months ended September 30, 1999. Signatures Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. First American Capital Corporation (registrant) /s/ Rickie D. Meyer Date November 12, 1999 Rickie D. Meyer, President /s/ Chris J. Haas Date November 12, 1999 Chris J. Haas, Secretary/Treasurer