FIRST LANCASTER BANCSHARES INC
8-A12G, 1996-06-19
SAVINGS INSTITUTION, FEDERALLY CHARTERED
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<PAGE>
 
                      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


                          First Lancaster Bancshares, Inc.
                 --------------------------------------------------------
             (Exact name of registrant as specified in its charter)


             Delaware                                     61- 1297318
- ------------------------------------------          -----------------------
 (State of incorporation or organization)             (I.R.S. employer
                                                      identification no.)

208 Lexington Street, Lancaster, Kentucky               40444-1131
- ------------------------------------------        -----------------------
 (Address of principal executive offices)                 (Zip Code)
<TABLE>
 
<S>                                              <C>
    If this Form relates to the                  If this Form relates to the registration  
    registration of a class of debt              of a class of debt securities and is to   
    securities and is effective upon             become effective simultaneously with the  
    filing pursuant to General                   effectiveness of a concurrent registration
    Instruction A(c)(1) please check             statement under the Securities Act of 1933
    the following box. [ ]                       pursuant to General Instruction A(c)(2)   
                       ---                       please check the following box. [ ]           
                                                                                 ---

</TABLE>


       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:


                    Common Stock, par value $.01 per share
                  ---------------------------------------------------
                                (Title of Class)


                               Page 1 of 7 Pages
                            Exhibit Index on Page 3
<PAGE>
 
Item 1.  Description of Registrant's Securities to be Registered.

     The information required by this Item is included under the captions
"Description of Capital Stock" (pages 115-116), "Dividend Policy" (page 24-25),
"Market for the Common Stock" (page 25), "Certain Anti-Takeover Provisions in
the Certificate of Incorporation and Bylaws" (pages 110-114), "The Conversion--
Limitations on Resales by Management" (page 108), "The Conversion--Effect of
Conversion to Stock Form on Depositors and Borrowers of the Bank--Liquidation
Account" (pages 98-99) and "The Conversion--Restrictions on Repurchase of
Stock" (page 108) of the Prospectus included as part of the Registrant's
Registration Statement on Form SB-2, File No. 333-2468, declared effective on
May 13, 1996 (the "Form SB-2"), which information is incorporated herein by
reference to the Prospectus which is incorporated as Exhibit 3.

Item 2.  Exhibits.

     The following documents are either filed or incorporated by reference as
exhibits to this registration statement as indicated:

          1.   Specimen Common Stock Certificate.

          2.   (a)  Certificate of Incorporation (incorporated by reference
                    to Exhibit 3.1 to Registration Statement on the Form SB-2
                    (File No. 333-2468)).

               (b)  Bylaws (incorporated by reference to Exhibit 3.2 to the
                    Registration Statement on Form SB-2 (File No. 333-2468)).

               (c)  Plan of Conversion of First Lancaster Federal Savings Bank
                    (incorporated by reference to Exhibit 2 to the Registration
                    Statement on Form SB-2 (File No. 333-2468)).

                                       2
<PAGE>
 
                                 EXHIBIT INDEX
                                 -------------


                                                         Sequentially
Exhibit                                                      Numbered
Number                                                           Page
- ------                                                           ----

 1             Specimen Common Stock Certificate                    5

 2(a)          Certificate of Incorporation (incorporated by
               reference to Exhibit 3.1 to the Form SB-2)          --

 2(b)          Bylaws (incorporated by reference to
               Exhibit 3.2 to the Form SB-2)                       --

 2(c)          Plan of Conversion (incorporated by
               reference to Exhibit 2 to the Form SB-2)            --

                                       3
<PAGE>
 
                                   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.

                                  First Lancaster Bancshares, Inc.
                                  --------------------------------
                                  (Registrant)



Date:   June 17, 1996        By:  /s/ Virginia R.S. Stump
                                 -----------------------------------------------
                                  Virginia R.S. Stump
                                  Chairman of the Board, President
                                    and Chief Executive Officer

                                       4

<PAGE>
 
                                   EXHIBIT 1

                       Specimen Common Stock Certificate
<PAGE>
 
                                  COMMON STOCK

NUMBER ___                                                        ___ SHARES

                        FIRST LANCASTER BANCSHARES, INC.

              INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE


This certifies that


is the owner of                                            CUSIP 32067S 10 1

fully paid and nonassessable shares of common stock, par value $0.01 per share,
                                       of

First Lancaster Bancshares, Inc. (the "Corporation"), a Delaware corporation.
The shares represented by this certificate are transferable only on the stock
transfer books of the Corporation by the holder of record hereof, or by his duly
authorized attorney or legal representative, upon the surrender of this
certificate properly endorsed. This certificate is not valid until countersigned
and registered by the Corporation's transfer agent and registrar.

THIS SECURITY IS NOT A DEPOSIT OR ACCOUNT AND IS NOT FEDERALLY INSURED OR
GUARANTEED.

IN WITNESS WHEREOF, the Corporation has caused this certificate to be executed
by the facsimile signatures of its duly authorized officers and has caused a
facsimile of its corporate seal to be hereunto affixed.
 

                              Dated:
                              ------

- ----------------------------------             -------------------------------
Kathy G. Johnica                               Virginia R.S. Stump
Secretary                                      President

Countersigned and Registered:

                      By:
                          --------------------------------------
                          Transfer Agent and Registrar

                          --------------------------------------
                          Authorized Signature

                                [CORPORATE SEAL]
- --------------------------------------------------------------------------------
                            RESTRICTIONS ON TRANSFER

The Certificate of Incorporation includes a provision which prohibits any person
from directly or indirectly acquiring or offering to acquire the beneficial
ownership of more than 10% of any class of equity security of the Corporation.
Such provision eliminates the voting rights of securities acquired in violation
of the provision.  Such provision will expire five years from the date of
completion of the conversion of First Lancaster Federal Savings Bank, Lancaster,
Kentucky (the "Bank") from mutual to stock form.  The Certificate of
Incorporation also imposes certain restrictions on the voting rights of
beneficial owners of more than 10% of any class of equity security of the
Corporation after five years from the date of completion of the conversion of
the Bank from mutual to stock form.  The Corporation will furnish without charge
to each stockholder who so requests additional information with respect to such
restrictions.  Such request may be made in writing to the Secretary of the
Corporation.
- --------------------------------------------------------------------------------
<PAGE>
 
     The shares represented by this certificate are issued subject to all the
provisions of the Certificate of Incorporation and Bylaws of the Corporation as
from time to time amended (copies of which are on file at the principal
executive office of the Corporation), to all of which the holder by acceptance
hereof assents.

     The Corporation will furnish without charge to each stockholder who so
requests a full statement of the powers, designations, preferences and relative,
participating, optional or other special rights of each class of stock or series
thereof and the qualifications, limitations or restrictions of such preferences
and/or rights. Such requests shall be made in writing to the Secretary of the
Corporation.

     The following abbreviations, when used in the inscription on the face of
 this Certificate, shall be construed as though they were written out in full
 according to applicable laws or regulations:

TEN COM -  as tenants in common

TEN ENT -  as tenants by the entireties

JT TEN  -  as joint tenants with right of survivorship and not as tenants in
           common

UNIF TRANSFER MIN ACT - ..........Custodian.......... under Uniform Transfers to
                          (Cust)            (Minor)   
Minors Act.......................
                (State)

     Additional abbreviations may also be used though not in the above list.

     For value received, __________________________________ hereby sell(s),
assign(s) and transfer(s) unto

PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE

- -----------------------------------
/                                  /
- ----------------------------------- 

- --------------------------------------------------------------------------------
 (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)

- --------------------------------------------------------------------------------
                                        
- --------------------------------------------------------------------------------
                                                                         Shares
- -------------------------------------------------------------------------

of the common stock evidenced by this certificate, and do hereby irrevocably
constitute and appoint __________________________________, Attorney, to transfer
the said shares on the books of the Corporation, with full power of
substitution.

Dated _____________________
                                             ---------------------------------
                                             Signature

 
                                             ---------------------------------
                                             Signature


In presence of:
               -----------------------------------------------


                 SEE REVERSE SIDE FOR RESTRICTIONS ON TRANSFER


NOTE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME OF THE
STOCKHOLDER(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR,
WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.


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