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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 (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
ORTHALLIANCE, INC.
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(Exact name of registrant as specified in its charter)
Delaware 95-4632134
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(State of incorporation (IRS Employer Identification No.)
or organization)
23848 Hawthorne Blvd., Suite 200, Torrance, CA 90505
(Address of principal executive offices) (Zip Code)
If this form relates to the If this form relates to the
registration of a class of debt registration of a class of debt
securities and is effective upon securities and is to become
filing pursuant to General effective simultaneously with the
Instruction A(c)(1) please check effectiveness of a concurrent
the following box. / / 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(b) of the Act:
<TABLE>
<S> <C>
Title of Each Class Name of Each Exchange on Which
to be so Registered Each Class is to be Registered
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None
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</TABLE>
Securities to be registered pursuant to Section 12(g) of the Act:
Class A Common Stock, $0.001 Par Value
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(Title of class)
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED.
The description of the Class A Common Stock, $0.001 par value, of
OrthAlliance, Inc. (the "Company") appearing under the heading "Description of
Capital Stock" in the Prospectus included in the Company's Registration
Statement on Form S-1 (Registration No. 333-27143) is incorporated herein by
reference, and any form of prospectus subsequently filed by the Company
pursuant to Rule 424(b) under the Securities Act shall also be deemed to be
incorporated by reference into this Registration Statement.
ITEM 2. EXHIBITS.
2.1 Amended and Restated Certificate of Incorporation (incorporated by
reference to Exhibit 3.1 of Registration Statement on Form S-1,
Registration No. 333-27143).
2.2 Amended and Restated Bylaws (incorporated by reference to Exhibit 3.2
of Registration Statement on Form S-1, Registration No. 333-27143).
2.3 See Exhibits 2.1 and 2.2 for provisions of the Amended and Restated
Certificate of Incorporation and Amended and Restated Bylaws defining
the rights of holders of the Class A Common Stock (incorporated by
reference to Exhibits 3.1 and 3.2 of the Registration Statement on
Form S-1, Registration No. 333-27143).
2.4 Specimen stock certificate (incorporated by reference to Exhibit 4.1
of the Registration Statement on Form S-1, Registration No.
333-27143).
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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.
ORTHALLIANCE, INC.
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(Registrant)
By: /s/ Paul H. Hayase
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Name: Paul H. Hayase
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Title: Sr. Vice President
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Date: August 12, 1997
