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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
ENACT HEALTH MANAGEMENT SYSTEMS, INC.
(Exact name of registrant as specified in its charter)
DELAWARE 77-0326649
(State of incorporation) (I.R.S. Employer Identification No.)
1975 WEST EL CAMINO REAL, SUITE 306
MOUNTAIN VIEW, CALIFORNIA 94040
(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 registered each class is to be registered
Not Applicable Not Applicable
SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT:
Common Stock, par value $0.001
(Title of class)
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Item 1. Description of Registrant's Securities to be Registered
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The information contained in "Description of Capital Stock" in
the Registrant's Registration Statement on Form S-1 (Commission File No.
333-41259), filed with the Securities and Exchange Commission on November 28,
1997, as amended on December 17, 1997, January 16, 1998 and February 5, 1998
(the "Form S-1 Registration Statement"), is hereby incorporated by reference.
Item 2. Exhibits
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The following exhibits are filed as part of this Registration
Statement:
1. Specimen stock certificate incorporated by reference to
Exhibit 4.1 of the Registrant's Form S-1 Registration
Statement.
2. Form of Restated Certificate of Incorporation to be filed
prior to effectiveness of the offering (Delaware
corporation), incorporated by reference to Exhibit 3.1 of
the Registrant's Form S-1 Registration Statement.
3. Proposed form of By-Laws to be adopted before the effective
date of Registrant's Form S-1 Registration Statement
(Delaware Corporation), incorporated by reference to
Exhibit 3.2 of the Registrant's Form S-1 Registration
Statement.
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.
ENACT HEALTH MANAGEMENT SYSTEMS, INC.
Date: February 6, 1998
By: /s/ Henry Evans
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Henry Evans
Chief Financial Officer
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EXHIBIT INDEX
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Exhibit Exhibit Sequentially
Number ------- Numbered
- ------- Page
----
1 Specimen stock certificate incorporated by
reference to Exhibit 4.1 of the Registrant's
Form S-1 Registration Statement.
2 Form of Restated Certificate of Incorporation
to be filed prior to effectiveness of the
offering (Delaware corporation), incorporated
by reference to Exhibit 3.1 of the Registrant's
Form S-1 Registration Statement.
3 Proposed form of By-Laws to be adopted before
the effective date of Registrant's Form S-1
Registration Statement (Delaware Corporation),
incorporated by reference to Exhibit 3.2 of
the Registrant's Form S-1 Registration
Statement.
