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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR 12(g) OF THE
SECURITIES EXCHANGE ACT OF 1934
Pacific Biometrics, Inc.
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(Exact name of registrant as specified in its charter)
Delaware 93-1211114
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(State of incorporation or organization) (I.R.S. Employer
Identification No.)
1370 Reynolds Avenue, Irvine, California 92614
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(Address of principal executive offices) (zip code)
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:
Common Stock, Par Value $.01 per share
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(Title of class)
Redeemable Common Stock Purchase Warrants to purchase Common Stock
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(Title of class)
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INFORMATION REQUIRED IN REGISTRATION STATEMENT
Item 1. Description of Registrant's Securities to be
Registered.
Reference is made to the description of the Registrant's common stock, par
value $.01 per share (the "Common Stock") and redeemable Warrants (the
"Warrants"), under the caption "Description of Securities" in the Registrant's
Registration Statement on Form SB-2 filed with the Securities and Exchange
Commission on September 6, 1996, as amended on October 11, 1996, Registration
Number 333-11551 (the "Registration Statement"), a copy of which is attached
hereto as Exhibit 1.1 and is also incorporated herein by reference.
Item 2. Exhibits.
1.1 Registration Statement on Form SB-2 (Registration Number 333-11551)
filed September 6, 1996; and Pre-Effective Amendment No. 1 thereto
filed October 11, 1996.
1.2 Specimen Certificate evidencing shares of Common Stock (Exhibit 4.1 to
the Registration Statement).
1.3 Specimen Certificate evidencing Warrants (Exhibit 4.2 to the
Registration Statement).
2.1 Certificate of Incorporation of the Registrant (Exhibit 3.1 to the
Registration Statement).
2.2 By-Laws of the Registrant (Exhibit 3.2 to the Registration Statement).
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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.
Pacific Biometrics, Inc.
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Date: October 9, 1996 By: s/Paul G. Kanan
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Name: Paul G. Kanan
Title: President
