<PAGE> 1
FORM 8-A
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
MILESTONE HEALTHCARE, INC.
(Exact name of registrant as specified in its charter)
DELAWARE 75-2592398
(State of Incorporation or Organization) (I.R.S. Employer Identification No.)
2501 CEDAR SPRINGS ROAD, SUITE 600, LB15, DALLAS, TEXAS 75201
(Address of principal executive offices) (Zip Code)
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(b) of the Act:
NONE
Securities to be registered pursuant to Section 12(g) of the Act:
Title of each class Name of each exchange on which
to be so registered each class is to be registered
COMMON STOCK, $.001 PAR VALUE NASDAQ NATIONAL MARKET
ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED.
The material set forth in the section captioned "Description of the Notes" in
the Registrant's Form S-1 Registration Statement (Registration No. 333-9013),
filed with the Securities and Exchange Commission on July 26, 1996, is
incorporated herein by reference.
ITEM 2. EXHIBITS.
Exhibit No. Description
- ----------- -----------
1 Please incorporate by reference exhibits filed with
Application for Registration on Form S-1 No. 333-9013.
<PAGE> 2
2 Please incorporate by reference exhibits filed with
Application for Registration on Form S-1 No. 333-9013.
3 Please incorporate by reference exhibits filed with
Application for Registration on Form S-1 No. 333-9013.
4 Please incorporate by reference exhibits filed with
Application for Registration on Form S-1 No. 333-9013.
5 Please incorporate by reference exhibits filed with
Application for Registration on Form S-1 No. 333-9013.
<PAGE> 3
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, on this 21st day of
August, 1996.
MILESTONE HEALTHCARE, INC.
By: /s/ WILLIAM A. BROSIUS
-----------------------------------
William A. Brosius, Secretary
