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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
CREDENTIALS SERVICES INTERNATIONAL, INC.
(Exact name of registrant as specified
in its charter)
Delaware 13 - 3784792
(State of incorporation (I.R.S. Employer
or organization) Identification No.)
333 City Boulevard West, 10th Floor
Orange, California 92868
(Address of principal executive offices) (Zip Code)
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, $.01 par value NASDAQ National Market
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), check the following box. [ ]
If this Form relates to the registration of a class of securities
pursuant to Section 12(g) of the Exchange Act and is effective pursuant to
General Instruction A.(d), check the following box. [ ]
Securities Act registration statement file number to which this Form
relates:
333-37461
Securities to be registered pursuant to Section 12(g) of the Act:
None
(Title of class)
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Item 1. Description of Registrant's Securities to be Registered.
In response to this item, incorporated by reference is the description
of the Common Stock, $.01 par value per share (the "Common Stock"), of
Credentials Services International, Inc. (the "Registrant") contained under the
caption "Description of Capital Stock" in the Prospectus (Subject to
Completion) dated October 8, 1997 that forms a part of the Registrant's
Registration Statement on Form S-1 (File No. 333-37461) (the "Registration
Statement"), together with the description contained under such caption
included in the form of prospectus subsequently filed by the Registrant
pursuant to Rule 424(b) under the Securities Act of 1933, as amended, which
prospectus is incorporated by reference herein.
Item 2. Exhibits.
In accordance with Instruction as to Exhibits II, the exhibits listed
in such Instruction shall be filed with each copy of this registration
statement filed with each exchange on which the Common Stock is to be
registered.
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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.
Dated: October 14, 1997.
CREDENTIALS SERVICES INTERNATIONAL, INC.
By /s/ DAVID C. THOMPSON
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David C. Thompson
President and Chief Executive Officer
