<PAGE> 1
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
CORNERSTONE BANCSHARES, INC.
(Exact name of registrant as specified in its charter)
TENNESSEE 62-1175427
(State of Incorporation or organization) (I.R.S. Employer
Identification No.)
4154 RINGGOLD ROAD, CHATTANOOGA, TENNESSEE 37412
(Address of principal executive offices) (zip code)
If this form relates to the registration of a class of securities
pursuant to Section 12(b) of the Exchange Act and is effective pursuant to
General Instruction A.(c), check the following box. [ ]
If this form relates to the registration of a class of securities
pursuant to Section 12(g) of the Exchange Act and is effective pursuant to
General Instruction A.(d), check the following box. [X]
Securities Act registration statement file number to which this form relates:
N/A
(If applicable)
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 $1.00 PER SHARE
<PAGE> 2
Item 1. Description of Registrant's Securities to be Registered
A description of the common stock, par value $1.00 per share ("Common
Stock"), of the Registrant is set forth under the caption "Description of
Capital Stock" in the Registration Statement on Form S-1(File Number
333-96185), as filed with the Securities Exchange Commission on February 4,
2000, which description is incorporated by reference.
Item 2. Exhibits
1.1 Charter of the Registrant, included as Exhibit 3.1 to the
Registrant's S-1, File Number 333-96185, as filed with the
Securities and Exchange Commission on February 4, 2000, is hereby
incorporated by reference.
1.2 By-laws of the Registrant, included as Exhibit 3.2 to the
Registrant's S-1, File Number 333-96185, as filed with the
Securities and Exchange Commission on February 4, 2000, is
hereby incorporated by reference.
1.3 Form of Subscription Agreement, included as Exhibit 99.1 to the
Registrant's S-1, File Number 333-96185, as filed with the
Securities and Exchange Commission on February 4, 2000, is hereby
incorporated by reference.
SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Act of
1934, the Registrant has duly caused this Registration Statement to be signed on
its behalf by the undersigned, thereto duly authorized.
Date: April 28, 2000
/s/ Gregory B. Jones
--------------------------------------
Gregory B. Jones
President and Chief Executive Officer
-2-
