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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
SURREY, INC.
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(Exact name of registrant as specified in its charter)
Texas 74-2138564
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(State of incorporation or (I.R.S. Employer
organization) Identification No.)
13110 Trails End Road, Leander, Texas 78641
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(Address of principal executive offices) (Zip Code)
Securities to be registered pursuant to Section 12(b) of the Act:
Title of each class to Name of each exchange on which
be so registered each class is to be registered
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Securities to be registered pursuant to Section 12(g) of the Act:
Units each (Unit consisting of two (2) shares common stock, no par value,
and one (1) redeemable common stock purchase warrant)
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(Title of Class)
Common Stock, no par value
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(Title of Class)
Common Stock Purchase Warrants
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(Title of Class)
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ITEM 1. - DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED:
The securities are described in the Preliminary Prospectus under the
heading "Description of Securities." The Preliminary Prospectus is
contained in the Registrant's Registration Statement on Form SB-2
(Sec No. 333-35757) filed with the Securities and Exchange
Commission on September 16, 1997 (the "Form SB-2") and Amendment No.
1 to Form SB-2 filed with the Securities and Exchange Commission on
November 12, 1997 ("Amendment No. 1"), each as amended by the
Prospectus to be filed pursuant to Rule 424(b) promulgated under
the Securities Act of 1933 and incorporated herein by reference.
ITEM 2. - EXHIBITS:
1. Specimen of the certificate representing the Registrant's
Common Stock - Filed as Exhibit 4.1 to Amendment No. 1 to the Form SB-2
and incorporated herein by reference.
2.1 Registrant's Articles of Incorporation, as amended to date - Filed
as Exhibit 3.1 to the Form SB-2 and incorporated herein by reference.
2.2 Registrant's Bylaws, as amended and restated to date - Filed as
Exhibit 3.2 to the Form SB-2 and incorporated herein by reference.
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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.
SURREY, INC.
Dated: November 17, 1997 By /s/ Mark J. van der Hagen
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Name: Mark J. van der Hagen
Title: Chief Financial Officer
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