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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(B) OR (G) OF THE
SECURITIES EXCHANGE ACT OF 1934
DELPHOS CITIZENS BANCORP, INC.
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(Exact name of registrant as specified in its charter)
DELAWARE being applied for
- - -------- --------------------------------
(state of incorporation or organization) (IRS Employer Identification
No.)
114 East 3rd Street, Delphos, Ohio 45833
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(Address of principal executive offices) (Zip Code)
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)
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Item 1. Description of Registrant's Securities to be Registered.
Incorporated by reference to the portion of the Prospectus under the
heading "Description of Capital Stock of the Company," filed on August 22, 1996
as part of the Registrant's Registration Statement on Form S-1, No. 333-10639.
(See Exhibit 3 of Item 2).
Item 2. Exhibits.
1. Copy of security to be registered hereunder is incorporated by
reference to Exhibit 4.0 to Registrant's Registration Statement on
Form S-1, No. 333-10639, filed on August 22, 1996.
2. Copies of all constituent instruments defining the rights of all the
holders of each class of such securities, including any contracts or
other documents which limit or qualify the rights of such holders.
(a) Certificate of Incorporation
Incorporated by reference to Exhibit 3.1 to Registrant's
Registration Statement on Form S-1, No. 333-10639, filed on
August 22, 1996.
(b) Bylaws
Incorporated by reference to Exhibit 3.2 to Registrant's
Registration Statement on Form S-1, No. 333-10639, filed on
August 22, 1996.
(c) Plan of Conversion
Incorporated by reference to Exhibit 2.1 to Registrant's
Registration Statement on Form S-1, No. 333-10639, filed on
August 22, 1996.
3. Copy of the portion of the Prospectus entitled "Description of
Capital Stock of the Company," filed on August 22, 1996 as part of
the Registrant's Registration Statement on Form S-1, No. 333-10639.
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CONFORMED
Pursuant to the requirements of Section 12 of the Securities Exchange Act
of 1934, as amended, the Registrant has duly caused this Registration Statement
to be signed on its behalf by the undersigned, thereto duly authorized.
DELPHOS CITIZENS BANCORP, INC.
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(Registrant)
Date: September 9, 1996
By: /s/ Joseph R. Reinemeyer
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Joseph R. Reinemeyer
President, Chief Executive Officer and
Director
