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First Canadian American Holding Corp – ‘8-A12G’ on 8/5/97

As of:  Tuesday, 8/5/97   ·   Accession #:  891092-97-292   ·   File #:  0-22947

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  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

 8/05/97  First Canadian American Hol… Corp 8-A12G                 3:14K                                    Doremus Fin… Printing/FA

Registration of a Class of Securities   —   Form 8-A
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 8-A12G      Form 8-A                                               3     10K 
 2: EX-99.1     Specimen Class A Common Stock Certificate              2      8K 
 3: EX-99.2     Specimen Class A Warrant Certificate                   3     12K 


8-A12G   —   Form 8-A
Document Table of Contents

Page (sequential) | (alphabetic) Top
 
11st Page   -   Filing Submission
2Item 1. Description of Registrant's Securities to be Registered
"Item 2. Exhibits
8-A12G1st Page of 3TOCTopPreviousNextBottomJust 1st
 

SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ------------------------ FORM 8-A FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(b) OR 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 HEALTHCORE MEDICAL SOLUTIONS, INC. (Exact name of registrant as specified in its charter) Delaware 43-1771999 (State of incorporation or organization) (I.R.S. employee identification no.) 11904 Blue Ridge Boulevard, Grandview, Missouri 64030 (Address of principal executive offices) (zip code) If this Form relates to the registration of a class of debt securities and is effective upon filing pursuant to General Instruction 1.(c)(1), please check the following box [ ]. If this Form relates to the registration of a class of debt securities and is to become effective simultaneously with the effectiveness of a concurrent registration statement under the Securities Act of 1933 pursuant to General Instructions A.(c)(2), please check the following box [ ]. Securities to be registered pursuant to Section 12(b) of the Act: None Securities to be registered pursuant to Section 12(g) of the Act: Class A Common Stock, $.01 par value Class A Warrants (Title of class)
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INFORMATION REQUIRED IN REGISTRATION STATEMENT Item 1. Description of Registrant's Securities to be Registered. The information called for by this Item 1 is incorporated herein by reference from the Registrant's Registration Statement on Form SB-2 File No. 333-28233 originally filed with the Securities and Exchange Commission on June 2, 1997. Item 2. Exhibits 1. Specimen of certificate evidencing Registrant's Class A Common Stock, par value $.01. 2. Specimen Class A Warrant Certificate. 3. (a) Amended and Restated Certificate of Incorporation of the Registrant.* (b) By-Laws of the Registrant.* ---------- * Filed as an exhibit to the Registrant's Registration Statement on Form SB-2 (File No. 333-28233) originally filed with the Commission on June 2, 1997. -2-
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SIGNATURE Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the Registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized. Date: August 5, 1997 HEALTHCORE MEDICAL SOLUTIONS, INC. By: /s/ Neal J. Polan ----------------------------- Neal J. Polan Chairman of the Board and Chief Executive Officer -3-

Dates Referenced Herein   and   Documents Incorporated by Reference

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Filed on:8/5/973SB-2/A
6/2/972SB-2
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Filing Submission 0000891092-97-000292   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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