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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
FIRST SOURCE BANCORP, INC.
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(Exact name of registrant as specified in its charter)
DELAWARE (being applied for)
(state of incorporation ----------------------------
or organization) (IRS Employer Identification No.)
1000 WOODBRIDGE CENTER DRIVE, WOODBRIDGE, NEW JERSEY 07095
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(Address of principal executive offices) (Zip Code)
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 [ X ]
Securities Act registration statement file number to which this form
relates: 333-42757
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.
Incorporated by reference to the portion of the Prospectus under the
heading "Description of Capital Stock of the Company," as part of the
Registrant's Registration Statement on Form S-1, No. 333-42757 filed on December
19, 1997 and subsequently amended on February 9, 1998.
ITEM 2 EXHIBITS
1. Copies of all constituent instruments defining the rights of all the
holders of each class of such securities, including any contract or
other documents which limit or qualify the rights of such holders.
(a) Certificate of Incorporation
Incorporated by reference to Exhibit 3.1 to Registrant's Registration
Statement on Form S-1, No. 333-42757, filed on December 19, 1997 and
amended on February 9, 1998.
(b) Bylaws
Incorporated by reference to Exhibit 3.2 to Registrant's Registration
Statement on Form S-1, No. 333-42757, filed on December 19, 1997 and
amended on February 9, 1998.
(c) Plan of Conversion
Incorporated by reference to Exhibit 2.1 to Registrant's Registration
Statement on Form S-1, No. 333-42757, filed on December 19, 1997 and
amended on February 9, 1998.
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Pursuant to the requirements of Section 12 of the Securities Exchange Act
of 1934, as amended, the Registrant has duly caused this Registration Statement
to be signed on its behalf by the undersigned, thereto duly authorized.
FIRST SOURCE BANCORP, INC.
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(Registrant)
Date: February 12, 1998
By: /s/ John P. Mulkerin
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John P. Mulkerin
President and Chief Executive Officer
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