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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
VISION TWENTY-ONE, INC.
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(Exact name of registrant as specified in its charter)
FLORIDA 59-3384581
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(State of incorporation (IRS Employer
or organization) Identification No.)
7209 BRYAN DAIRY ROAD
LARGO, FLORIDA 34647
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(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
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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, $.001 par value
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(Title of Class)
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(Title of Class)
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED.
This registration statement relates to the registration with the
Securities and Exchange Commission of shares of Common Stock, par value $0.001
per share (the "Common Stock"), of Vision Twenty-One, Inc., a Florida
corporation (the "Registrant"). The description of the Common Stock to be
registered hereunder set forth under the caption "Description of Capital Stock"
at page 58 of the Registrant's Registration Statement on Form S-1, filed with
the Securities and Exchange Commission on June 13, 1997, and the amendments to
the Registration Statement, is incorporated herein by reference.
ITEM 2. EXHIBITS.
DESCRIPTION
1. Specimen of Certificate representing Registrant's Common Stock.
This document was filed as Exhibit 4.1 to Registrant's
Registration Statement on Form S-1, Registration No. 333-29213,
filed June 13, 1997 (the "Registration Statement"), and is
hereby incorporated herein by reference.
2.1 Restated Articles of Incorporation of Registrant. This document
was filed as Exhibit 3.1 to the Registrant's Registration
Statement and is hereby incorporated by reference.
2.2 Bylaws of Registrant. This document was filed as Exhibit 3.2 to
the Registrant's Registration Statement and is hereby
incorporated 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 hereunto duly authorized.
VISION TWENTY-ONE, INC.
By: /S/ THEODORE N. GILLETTE
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Theodore N. Gillette
Chief Executive Officer
Dated: August 12, 1997
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