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FORM 8-A
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
Proflight Medical Response, Inc.
(Exact name of registrant as specified in its charter)
Colorado 84-1200480
(State of incorporation (I.R.S. Employer Identification No.)
or organization)
7211 S. Peoria Street, Littleton, CO 80112
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), please check the following box. [X]
If this Form relates to the registration of a class of securities pursuant
to Section 12(g) of the Exchange Act and is to become effective pursuant to
General Instruction A.(d), please check the following box. [ ]
Securities Act registration statement to which this form relates: 333-27197
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
Common Stock, par value $0.001 per share Boston Stock Exchange
Common Stock Purchase Warrants
Securities to be registered pursuant to Section 12(g) of the Act:
Not Applicable
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED.
A description of the Common Stock is set forth at page 40 of the
Prospectus forming part of the Registration Statement on Form SB-2 filed under
the Securities Act of 1933, as amended (the "Securities Act"), with the
Securities and Exchange Commission on May 15, 1997 Registration No. 333-27197
(the "Registration Statement") on behalf of Proflight Medical Response, Inc.
(the "Registrant"), which is hereby incorporated by reference for all purposes.
ITEM 2. EXHIBITS.
1. Amended and Restated Articles of Incorporation of the Registrant,
incorporated herein by reference to Exhibit 3.1 of the
Registration Statement.
2. Bylaws of the Registrant, incorporated herein by reference to
Exhibit 3.2 of the Registration Statement.
3. Form of Certificate for Shares of the Common Stock of the
Registrant, incorporated herein by reference to Exhibit 4.1 of
the Registration Statement.
4. Stock Option Plan of the Registrant, incorporated herein by
reference to Exhibit 10.25 of the Registration Statement.
The Registrant hereby further incorporates by reference the description of
the Common Stock included in any form of prospectus subsequently filed by the
Registrant pursuant to Rule 424(b) under the Securities Act.
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SIGNATURE
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, duly authorized officer.
PROFLIGHT MEDICAL RESPONSE, INC.
By: /s/ Kevin L. Burkhardt
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Kevin L. Burkhardt
President and Chief
Executive Officer
Dated: July 21, 1998
