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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 12(g) OF THE
SECURITIES EXCHANGE ACT OF 1934
High Country Bancorp, inc.
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(Exact Name of Registrant as Specified in Its Charter)
Colorado Requested
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(State of Incorporation or Organization) (I.R.S. Employer
Identification no.)
130 West 2nd Street, Salida, Colorado 81201-0309
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(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(g) of the Act:
Common Stock, par value $.01 per share
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(Title of Class)
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Item 1. Description of Registrant's Securities to be Registered.
The information required by this Item is included under the
captions "Description of Capital Stock" (pages 87-88), "Dividend
Policy" (pages 8-9), "Market for the Common Stock" (page 9),
"Certain Anti-Takeover Provisions in the Articles of
Incorporation and Bylaws" (pages 83-87), "The Conversion --
Limitations on Resales by Management" (page 81), "The Conversion
- -- Effect of Conversion to Stock Form on Depositors and Borrowers
of the Association -- Liquidation Account" (pages 71-72) and "The
Conversion -- Restrictions on Repurchase of Stock" (pages 80-81)
of the Prospectus included as part of the Registrant's
Registration Statement on Form SB-2, File No. 333-34153, declared
effective on October 24, 1997 (the "Form SB-2").
Item 2. Exhibits.
The following documents are either filed or incorporated by
reference as exhibits to this registration statement as
indicated:
1. Specimen Common Stock Certificate.
2. (a) Articles of Incorporation (incorporated by
reference to Exhibit 3.1 to the Form SB-2
(File No. 333-34153)).
(b) Bylaws (incorporated by reference to Exhibit 3.2
to the Form SB-2 (File No. 333-34153)).
(c) Plan of Conversion of Salida Building and Loan
Association (incorporated by reference to
Exhibit 99.1 to the Form SB-2
(File No. 333-34153)).
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EXHIBIT INDEX
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Exhibit
Number
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1 Specimen Common Stock Certificate
2(a) Articles of Incorporation (incorporated by
reference to Exhibit 3.1 to the Form SB-2)
2(b) Bylaws (incorporated by reference to
Exhibit 3.2 to the Form SB-2)
2(c) Plan of Conversion of Salida Building and Loan
Association (incorporated by reference to Exhibit
99.1 to the Form SB-2)
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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.
High Country Bancorp, Inc.
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(Registrant)
Date: November 21, 1997 By:/s/ Larry D. Smith
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Larry D. Smith
President and Chief Executive
Officer
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COMMON STOCK
NUMBER ___ ___ SHARES
HIGH COUNTRY BANCORP, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF COLORADO
CUSIP 42965Q 10 7
This certifies that
is the owner of
FULLY PAID AND NONASSESSABLE SHARES OF COMMON STOCK, PAR VALUE
$0.01 PER SHARE, OF
High Country Bancorp, inc. (the "Corporation"), a Colorado
corporation. The shares represented by this certificate are
transferable only on the stock transfer books of the Corporation
by the holder of record hereof, in person or by duly authorized
attorney or legal representative, upon the surrender of this
certificate property endorsed. This certificate is not valid
until countersigned and registered by the Corporation's transfer
agent and registrar.
IN WITNESS WHEREOF, the Corporation has caused this certificate
to be executed by the facsimile signatures of its duly authorized
officers and has caused a facsimile of its corporate seal to be
hereunto affixed.
Dated:
/s/ Richard A. Young /s/ Larry D. Smith
____________________________ _____________________
Richard A. Young Larry D. Smith
Secretary President and Chief
Executive Officer
Countersigned and Registered:
By: _____________________________
Transfer Agent and Registrar
_____________________________
Authorized Signature
[CORPORATE SEAL]
RESTRICTIONS ON TRANSFER
The Articles of Incorporation include a provision which prohibits
any person from directly or indirectly acquiring or offering to
acquire the beneficial ownership of more than 10% of any class of
equity security of the Corporation. Such provision eliminates
the voting rights of securities acquired in violation of the
provision. Such provision will expire five years from the
effective date of completion of the conversion of Salida Building
and Loan Association, Salida, Colorado (the "Association") from
mutual to stock form. The Articles of Incorporation also impose
certain restrictions on the voting rights of beneficial owners of
more than 10% of any class of equity security of the Corporation
after five years from the completion of the conversion of the
Association from mutual to stock form. The Corporation will
furnish without charge to each stockholder who so requests
additional information with respect to such restrictions. Such
request may be made in writing to the Secretary of the
Corporation.
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The shares represented by this certificate are issued
subject to all the provisions of the Articles of Incorporation
and Bylaws of the Corporation as from time to time amended
(copies of which are on file at the principal executive office of
the Corporation), to all of which the holder by acceptance hereof
assents.
The Corporation will furnish without charge to each
stockholder who so requests, the powers, designations,
preferences and relative, participating, optional or other
special rights of each class of stock or series thereof and the
qualifications, limitations or restrictions of such preferences
and/or rights. Such requests shall be made in writing to the
Secretary of the Corporation.
The following abbreviations, when used in the inscription on
the face of this Certificate, shall be construed as though they
were written out in full according to applicable laws or
regulations:
TEN COM - as tenants in common
TEN ENT - as tenants by the entireties
JT TEN - as joint tenants with right of survivorship and not
as tenants in common
UNIF TRANSFER MIN ACT - ..........Custodian.......... under
(Cust) (Minor)
Uniform Transfers to Minors Act.......................
(State)
Additional abbreviations may also be used though not in the
above list.
NOTE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE
NAME OF THE STOCKHOLDER(S) AS WRITTEN UPON THE FACE OF THE
CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR
ENLARGEMENT OR ANY CHANGE WHATEVER.
FOR VALUE RECEIVED, _______________________________ HEREBY
SELL, ASSIGN AND TRANSFER UNTO
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
________________________________
/_______________________________/
_________________________________________________________________
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE,
OF ASSIGNEE)
_________________________________________________________________
__________________________________________________________ Shares
of the common stock evidenced by this certificate, and do hereby
irrevocably constitute and appoint ____________________________,
Attorney, to transfer the said shares on the books of the
Corporation, with full power of substitution.
Dated _______________________ _____________________________
Signature
_____________________________
Signature
In presence of: ___________________________
