FORM 8-A
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
DIAMOND HOME SERVICES, INC.
(Exact name of registrant as specified in its charter)
DELAWARE 36-3886872
(State of incorporation or organization) (I.R.S. Employer Identification No.)
222 CHURCH STREET
DIAMOND PLAZA
WOODSTOCK, ILLINOIS 60098
(Address of principal executive offices) (Zip Code)
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
NONE NONE
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(g) of the Act:
COMMON STOCK, PAR VALUE $.001 PER SHARE
(Title of class)
INFORMATION REQUIRED IN REGISTRATION STATEMENT
ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED
The description of the Common Stock of Diamond Home Services, Inc. (the
"Company") to be registered hereunder is set forth under the heading
"Description of Capital Stock" in the Company's Registration Statement on Form
S-1 (Registration No. 333-3822) (the "Registration Statement") filed by the
Company with the Securities and Exchange Commission on April 19, 1996, which
description is incorporated herein by reference.
ITEM 2. EXHIBITS
* 1. Specimen Common Stock Certificate.
2. Form of Amended and Restated Certificate of Incorporation of the
Company to be filed with the State of Delaware prior to effectiveness
of the Registration Statement.
3. Form of Amended and Restated By-laws of the Company to be adopted
prior to effectiveness of the Registration Statement.
* Filed herewith
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, thereunto duly authorized.
Dated: April 29, 1996 DIAMOND HOME SERVICES, INC.
By: /s/ C. Stephen Clegg
Name: C. Stephen Clegg
Title: Chairman of the Board, President
and Chief Executive Officer
EXHIBIT INDEX
Number Description Page
* 1. Specimen Common Stock Certificate.
2. Form of Amended and Restated Certificate of
Incorporation of Diamond Home Services, Inc. to
be filed with the State of Delaware prior to
effectiveness of the Registration Statement, is
incorporated herein by reference to Exhibit 3.1
to Diamond Home Services, Inc.'s Registration
Statement on Form S-1, Registration No. 333-
3822.
3. Form Amended and Restated By-laws of Diamond
Home Services, Inc. to be adopted prior to
effectiveness of the Registration Statement, is
incorporated herein by reference to Exhibit 3.2
to Diamond Home Services, Inc.'s Registration
Statement on Form S-1, Registration No. 333-
3822.
* Filed herewith.
COMMON COMMON
Number Shares
_________ ______
[LOGO]
SEE REVERSE FOR CERTAIN DEFINITIONS
CUSIP 252648 10 0
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
This Certifies that
is the owner of
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK,
PAR VALUE OF $.001 PER SHARE, OF
DIAMOND HOME SERVICES, INC.
transferable on the books of the Company by said owner hereof in person or
by duly authorized attorney upon surrender of this certificate properly
endorsed. This certificate is not valid until countersigned and registered
by the Transfer Agent and Registrar.
IN WITNESS WHEREOF, Diamond Home Services, Inc. has caused this
certificate to be signed by its duly authorized officers and its corporate
seal to be hereunto affixed.
Dated:
[SEAL]
/s/ Ann Crowley Patterson /s/ C. Stephen Clegg
VICE PRESIDENT-ADMINISTRATION CHIEF EXECUTIVE OFFICER
AND SECRETARY AND PRESIDENT
Countersigned and Registered:
HARRIS TRUST AND SAVINGS BANK
Transfer Agent and Registrar
By:
Authorized Signature
DIAMOND HOME SERVICES, INC.
THE CORPORATION WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO
REQUESTS A STATEMENT OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE,
PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR
SERIES THEREOF WHICH IT IS AUTHORIZED TO ISSUE AND THE QUALIFICATIONS,
LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS.
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 UNIF GIFT MIN ACT_____Custodian_____
TEN ENT - as tenants by the entireties (Cust) (Minor)
JT TEN - as joint tenants with right of under Uniform Gifts to Minors
survivorship and not as tenants Act__________
in common (State)
Additional abbreviations may also be used though not in the above list.
For Value Received, ______________________ hereby sell, assign and
transfer 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 capital stock represented by the within Certificate, and do hereby
irrevocably constitute and appoint
__________________________________________________________________ Attorney
to transfer the said stock on the books of the within named Corporation
with full power of substitution in the premises.
Dated____________________________
X____________________________________________
X____________________________________________
NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST
CORRESPOND WITH THE NAME(S) AS WRITTEN
UPON THE FACE OF THE CERTIFICATE IN
EVERY PARTICULAR, WITHOUT ALTERATION OR
ENLARGEMENT OR ANY CHANGE WHATEVER
Signature(s) Guaranteed
By__________________________________
THE SIGNATURE(S) SHOULD BE GUARANTEED
BY AN ELIGIBLE GUARANTOR INSTITUTION
(BANKS, STOCKBROKERS, SAVINGS AND LOAN
ASSOCIATIONS AND CREDIT UNIONS WITH
MEMBERSHIP IN AN APPROVED SIGNATURE
GUARANTEE MEDALLION PROGRAM),PURSUANT
TO S.E.C. RULE 17Ad-15.
