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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
SABRATEK CORPORATION
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(Exact name of registrant as specified in its charter)
Delaware 36-3700639
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(State of incorporation or organization) (I.R.S. Employer
Identification No.)
5601 West Howard St. Niles, IL 60714
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(Address of principal executive offices) (Zip Code)
If this Form relates to the registration If this Form relates to the
of a class of debt securities and is registration of a class of debt
effective upon filing pursuant to securities and is to become
General Instruction A(c)(1) please effective simultaneously with the
check the following box. [_] effectiveness of a concurrent
registration statement under the
Securities Act of 1933 pursuant to
General Instruction Act 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:
Title of Each Class to be so Registered
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Common Stock, $.01 par value
Exhibit Index appears on page 3.
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED
The section entitled "Description of Capital Stock" contained in the
Company's prospectus which is part of Amendment No. 2 to the Registration
Statement on Form S-1 filed by Sabratek Corporation (the "Company") with the
Commission on June 14, 1996 (Registration No. 333-3866) is hereby incorporated
by reference herein.
ITEM 2. EXHIBITS
I. The following exhibits to Amendment No. 1 to the Registration
Statement on Form S-1 filed by the Company with the Commission on May
30, 1996 are hereby incorporated by reference herein:
1. Certificate of Incorporation of the Company; and
2. By-laws of the Company.
II.(1) A copy of Amendment No. 2 to the Company's Registration Statement on
Form S-1 filed with the Commission on June 14, 1996 is hereby
incorporated by reference herein.
II.(5) A copy of the Company's specimen stock certificate is attached hereto
as Exhibit II(5).
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: June 14, 1996
SABRATEK CORPORATION
By: /s/ Scott Skooglund
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Scott Skooglund
Vice President of Finance
and Assistant Secretary
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EXHIBIT INDEX
These exhibits are numbered in accordance with the exhibit numbers assigned in
Item 2 of Form 8-A.
Sequential
Exhibit No. Description Page Number
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I.(1) Certificate of Incorporation of Sabratek *
Corporation
I.(2) By-laws of Sabratek Corporation *
II.(1) Registration Statement on Form S-1 *
II.(5) Specimen Stock Certificate 4
* Incorporated by reference.
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<S><C>
COMMON STOCK COMMON STOCK
NUMBER [SABRATEK LOGO] SHARES
SBTK
INCORPORATED UNDER THE LAWS SEE REVERSE FOR STATEMENTS
OF THE STATE OF DELAWARE RELATING TO RIGHTS, PREFERENCES,
PRIVILEGES AND RESTRICTIONS, IF ANY
CUSIP 78571U 10 8
This Certifies that
is the record holder of
FULLY PAID AND NONASSESSABLE SHARES OF COMMON STOCK, $.01 PAR VALUE, OF
SABRATEK CORPORATION
transferable on the books of the Corporation in person or by duly authorized attorney on surrender of this Certificate properly
endorsed. This Certificate shall not be valid until countersigned and registered by the Transfer Agent and Registrar.
WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.
Dated:
[SABRATEK SEAL]
Doron C. Levitas K. Shan Padda
VICE-CHAIRMAN AND SECRETARY CHAIRMAN
COUNTERSIGNED AND REGISTERED:
LASALLE NATIONAL TRUST, N.A.
TRANSFER AGENT AND REGISTRAR
BY:
AUTHORIZED SIGNATURE
The Corporation shall 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 of the Corporation or series
thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such requests shall be made to the
Corporation's Secretary at the principal office 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 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)
UNIF TRF MIN ACT -- ____________Custodian (until age _____)
(Cust)
_______________ under Uniform Transfers
(Minor)
to Minors Act _________________________
(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 common 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 __________________________________________________________________________
THE SIGNATURES TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS
NOTICE: 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 1745-16.
AMERICAN BANK NOTE COMPANY MAY 24, 1996
3504 ATLANTIC AVENUE
SUITE 12 044239bk
LONG BEACH, CA 90807
(310) 989-2333
(FAX) (310) 426-7450 NEW
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