<PAGE> 1
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
CAPITAL SENIOR LIVING CORPORATION
- --------------------------------------------------------------------------------
(Exact name of registrant as specified in its charter)
DELAWARE 75-2678809
- --------------------------------------------------------------------------------
(State or other jurisdiction of (IRS Employer
incorporation or organization) Identification No.)
14160 DALLAS PARKWAY, SUITE 300, DALLAS, TEXAS 75240
- --------------------------------------------------------------------------------
(Address of principal executive offices) (Zip Code)
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(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, NEW YORK STOCK EXCHANGE
PAR VALUE $.01
Securities to be registered pursuant to Section 12(g) of the Act:
NONE
- --------------------------------------------------------------------------------
Title of Class
Page 1 of 3 Pages
<PAGE> 2
ITEM 1. DESCRIPTION OF SECURITIES TO BE REGISTERED.
The Section entitled "Description of Capital Stock" in the
Registrant's Registration Statement on Form S-1 (Reg. No. 333-33379) (the
"Registration Statement") is deemed to be incorporated by reference herein.
ITEM 2. EXHIBITS.
I. 2.1 Amended and Restated Certificate of Incorporation
(incorporated by reference from Exhibit 3.1 to the
Registration Statement)
2.2 Amended and Restated Bylaws, as amended (incorporated by
reference from Exhibit 3.2 to the Registration Statement)
II. Not applicable.
Page 2 of 3 Pages
<PAGE> 3
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, thereunto duly authorized.
Dated: October 3, 1997
CAPITAL SENIOR LIVING CORPORATION
By: /s/ James A. Stroud
-----------------------------
James A. Stroud
Chief Operating Officer
Page 3 of 3 Pages
