UNITED STATES
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
APPLE ORTHODONTIX, INC.
(Exact name of registrant as specified in its charter)
Delaware 74-2795193
(State of incorporation or organization) (I.R.S. Employer
Identification No.)
One West Loop South
Suite 100
Houston, Texas 77027
(Address of principal executive offices, including 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
Class A Common Stock, $0.001 Par Value American Stock Exchange, Inc.
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:
None
(Title of Class)
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE
REGISTERED
The class of securities to be registered hereby is Class A Common Stock,
par value $.001 per share (the "Common Stock"), of Apple Orthodontix, Inc., a
Delaware corporation (the "Company"). For descriptions of the Common Stock, the
other capital stock of the Company and certain anti-takeover provisions included
in the charter of the Company, see the information set forth under the caption
"Description of Capital Stock" in (i) the prospectus subject to completion dated
March 5, 1997, included in Part I of the Registration Statement on Form S-1 (the
"Registration Statement") of the Company, originally filed with the Securities
and Exchange Commission (the "Commission") under the Securities Act of 1933, as
amended (the "Securities Act"), on March 5, 1997, and (ii) the related final
form of prospectus to be filed with the Commission under Rule 424(b) of the
Securities Act, which descriptions are incorporated herein by reference. Any
statement contained in a document incorporated herein by reference shall be
deemed to be modified or superseded for purposes hereof to the extent that
another document incorporated herein by reference modifies or supersedes such
previous statement.
ITEM 2. EXHIBITS
The following exhibits are filed as part of this Registration Statement on
Form 8-A:
*1 Form of certificate representing Common Stock (incorporated herein by
reference to Exhibit 4.1 of the Registration Statement).
*2(a) Restated Certificate of Incorporation of the Company (incorporated herein
by reference to Exhibit 3.1 of the Registration Statement).
*2(b) Bylaws of the Company (incorporated herein by reference to Exhibit 3.2 of
the Registration Statement).
* Incorporated by reference as indicated pursuant to Rule 12b-32.
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<PAGE>
SIGNATURES
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, thereunder duly authorized.
APPLE ORTHODONTIX, INC.
By /S/ H. STEVEN WALTON
H. Steven Walton
Vice President - Acquisitions
Date: May 9, 1997
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