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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(B) OR (G) OF THE
SECURITIES EXCHANGE ACT OF 1934
NUTRITION MEDICAL, INC.
(Exact name of registrant as specified in its charter)
MINNESOTA 41-1756256
(State of incorporation (I.R.S. Employer
or organization) Identification No.)
9850 51ST AVENUE NORTH
SUITE 110
MINNEAPOLIS, MINNESOTA 55442
(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 A.(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
Instruction A.(c)(2), please check the following box. / /
Securities to be registered pursuant to Section 12(b) of the Act:
None
(Title of Class)
Securities to be registered pursuant to Section 12(g) of the Act:
COMMON STOCK, $.01 PAR VALUE
(Title of class)
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED
The description of the Common Stock, $.01 par value, of Nutrition Medical,
Inc. (the "Company") to be registered hereunder is contained under the caption
"Description of Capital Stock" in the Prospectus filed pursuant to Rule 424(b)
by the Company with the Securities and Exchange Commission on September 27, 1996
(File No. 333-9999), which description is incorporated herein by reference.
ITEM 2. EXHIBITS
1. Second Restated Articles of Incorporation of the Company (incorporated by
reference to Exhibit 3.1 to the Company's Quarterly Report on Form 10-QSB
(File No. 333-9999)).
2. Second Restated Bylaws of the Company (incorporated by reference to Exhibit
3.2 to the Company's Quarterly Report on Form 10-QSB (File No. 333-9999)).
3. Specimen Certificate representing the Common Stock Certificate of the
Company (incorporated by reference to Exhibit 4.1 to the Company's
Registration Statement on Form SB-2 (File No. 333-9999)).
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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.
NUTRITION MEDICAL, INC.
Date: March 11, 1997
By /s/ William L. Rush
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William L. Rush
Chairman of the Board, President and
Chief Executive Officer
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NUTRITION MEDICAL, INC.
FORM 8-A EXHIBIT INDEX
EXHIBIT
NUMBER DESCRIPTION
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1 Second Restated Articles of Incorporation of the Company
(incorporated by reference to Exhibit 3.1 to the Company's
Quarterly Report on Form 10-QSB (File No. 333-9999)).
2 Second Restated Bylaws of the Company (incorporated by reference
to Exhibit 3.2 to the Company's Quarterly Report on Form 10-QSB
(File No. 333-9999)).
3 Specimen Certificate representing the Common Stock Certificate of
the Company (incorporated by reference to Exhibit 4.1 to the
Company's Registration Statement on Form SB-2 (File No. 333-
9999)).
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