CEMAX ICON INC
8-A12G, 1996-06-19
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<PAGE>   1
 
                                    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
 
                                CEMAX-ICON, INC.
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             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
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<S>                                           <C>
                   DELAWARE                                     77-0103865
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   (STATE OF INCORPORATION OR ORGANIZATION)              (IRS EMPLOYER I.D. NO.)
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              47281 MISSION FALLS COURT, FREMONT, CALIFORNIA 94539
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                    (ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)
 
SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12(B) OF THE ACT:
 
                                      NONE
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SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12(G) OF THE ACT:
 
                         COMMON STOCK, $.001 PAR VALUE
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<S>       <C>      <C>
ITEM 1.   DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED
          Incorporated by reference to page 45 through 47 of the Preliminary Prospectus
          contained in Registrant's Registration Statement on Form S-1 filed on June 19, 1996
          (the "S-1 Registration Statement").
ITEM 2.   EXHIBITS
          The following exhibits are filed as a part of this registration statement:
          1.1*     Form of Registrant's Common Stock Certificate
          2.1**    Certificate of Incorporation of Cemax-Icon, Inc., a Delaware corporation.
          3.1***   Bylaws of Cemax-Icon, Inc., a Delaware corporation.
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  * Incorporated by reference to Exhibit 4.2 to the S-1 Registration Statement.
 ** Incorporated by reference to Exhibit 3.2 to the S-1 Registration Statement.
*** Incorporated by reference to Exhibit 3.4 to the S-1 Registration Statement.
 
                                   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.
 
Date: June 19, 1996
 
                                          CEMAX-ICON, INC.
 
                                          By: /s/ GREGORY C. PATTI
 
                                            ------------------------------------
                                            Gregory C. Patti
                                            Chief Financial Officer and Vice
                                            President, Finance and Operations


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