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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
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MEDICAL ALLIANCE, INC.
(Exact name of registrant as specified in its charter)
TEXAS 73-1347577
(State of incorporation or organization) (I.R.S. Employer Identification No.)
2445 GATEWAY DRIVE, SUITE 150
IRVING, TEXAS 75063
(Address of principal executive offices) (Zip Code)
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SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12(B) OF THE ACT:
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 if 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.
Title of each class Name of each exchange on which
to be so registered each class is to be registered
------------------- ------------------------------
COMMON STOCK, $0.002 PAR VALUE PER SHARE THE NASDAQ STOCK MARKET, INC.'S
NASDAQ NATIONAL MARKET
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED
Reference is made to "DESCRIPTION OF CAPITAL STOCK" relating to
registrant's common stock on pages 40-42 in the registrant's Registration
Statement on Form S-1, as amended (Registration No. 333-09815) and incorporated
herein by reference.
ITEM 2. EXHIBITS
I. Exhibits to be filed with the Securities and Exchange
Commission and the Nasdaq Stock Market, Inc.'s Nasdaq National
Market:
1. Form S-1 registration statement of the registrant,
(Registration No. 333-09815) which was filed with the
Securities and Exchange Commission on August 9, 1996.
2. Articles of Incorporation of the registrant.(1)
3. Form of Restated Articles of Incorporation of the
Registrant (to become effective prior to the
registrant's completion of its initial public
offering).(1)
4. Bylaws of the registrant.(1)
5. Restated and Amended Bylaws of the registrant (to
become effective upon the registrant's successful
completion of its initial public offering.)(1)
6. Specimen of Certificate of Stock representing the
registrant's common stock.(1)
_________
(1) Filed as an exhibit to the Registrant's Registration Statement
on Form S-1, as amended (Registration No. 333-09815) and
incorporated herein by reference.
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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.
MEDICAL ALLIANCE, INC.
By: /s/ Mark A. Novy
-----------------------------------
Mark A. Novy, Secretary
Date: September 11, 1996
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FORM 8-A
MEDICAL ALLIANCE, INC.
INDEX TO EXHIBITS
TO BE FILED WITH THE
SECURITIES AND EXCHANGE COMMISSION
<TABLE>
<CAPTION>
Number Exhibit Incorporated by Reference
------ ------- -------------------------
Company Registration
Statement on Form S-1
(Commission File No.
333-05785)
Exhibit No.
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<S> <C> <C>
I-1 Form S-1 registration statement of the registrant, as amended
(Registration No. 333-09815) which was filed with the
Securities and Exchange Commission on August 9, 1996. N/A
I-2 Articles of Incorporation of the registrant. 3.1
I-3 Restated and Amended Articles of Incorporation of the
registrant (to become effective prior to the registrant's
completion of its initial public offering). 3.3
I-4 Bylaws of the registrant. 3.2
I-5 Restated and Amended Bylaws of the registrant (to become
effective upon the registrant's completion of its initial
public offering). 3.4
I-6 Speciment of Certificate of Stock representing the
registrant's common stock. 4.1
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