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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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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
Monarch Dental Corporation
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(Exact Name of Registrant as Specified in its Charter)
Delaware 51-0363560
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(State of Incorporation or Organization) (I.R.S. Employer Identification no.)
4201 Spring Valley Road, Suite 320, Dallas,
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Texas 75244 (Address of Principal Executive Offices) (Zip Code)
If this form relates to the If this form relates to the
registration of a class of debt registration of a class of debt
securities and is effective upon securities and is to become
filing pursuant to General effective simultaneously with the
Instruction A(c)(1), please check effectiveness of a concurrent
the following box. [ ] 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:
Title of Each Class Name of Each Exchange on Which
to be so Registered Each Class is to be Registered
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Not applicable
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Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, par value $.01 per share
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(Title of class)
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INFORMATION REQUIRED IN REGISTRATION STATEMENT
Item 1. Description of Registrant's Securities to be Registered
A description of the Common Stock of the Registrant is set forth
in the information provided under "Description of Capital Stock"
in the Prospectus part of the Registration Statement on Form
S-1, filed under the Securities Act of 1933 with the Securities
and Exchange Commission on April 2, 1997, File No.333-24409, as
amended (the "Registration Statement"), which information is
incorporated herein by reference.
Item 2. Exhibits
(1) Specimen of the Common Stock certificate (incorporated by
reference to Exhibit 4.1 to the Registration Statement).
(2) (a) Form of Restated Certificate of Incorporation of
Registrant (incorporated by reference to Exhibit 3.3
to the Registration Statement).
(b) Form of Amended and Restated By-laws of Registrant
(incorporated by reference to Exhibit 3.4
to the Registration Statement).
(c) Amended and Restated Stockholders' Agreement
(incorporated by reference to Exhibit 10.4 to the
Registration Statement).
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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.
MONARCH DENTAL CORPORATION
(Registrant)
By: /s/ GARY W. CAGE
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Gary W. Cage
Chief Executive Officer
Dated: July 14, 1997
