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FORM 8-A
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
FACTUAL DATA CORP.
(Exact name of registrant as specified in its charter)
COLORADO 84-1449911
(State of incorporation (I.R.S. Employer
or organization) Identification No.)
5200 HAHNS PEAK DRIVE, LOVELAND, COLORADO
80538 (Address of principal executive offices,
including zip code)
Securities to be registered pursuant to Section 12(b) of the Act:
NONE
If this form relates to the If this form relates to the
registration of a class of registration of a class of
securities pursuant to Section securities pursuant to Section
12(b) of the Exchange Act and 12(g) of the Exchange Act and is
is effective pursuant to effective pursuant to General
General Instruction A. (c), Instruction A. (d), please check
please check the following the following box. [X]
box. [ ]
Securities Act registration statement file number to which this form
relates: 333-47051
Securities to be registered pursuant to Section 12(g) of the Act:
COMMON STOCK
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(Title of Class)
REDEEMABLE 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.
Descriptions and terms of the Registrant's Common Stock and Redeemable
Common Stock Purchase Warrants to purchase one share of Common Stock (the
"Warrants") to be registered are incorporated herein by reference to the section
entitled "Description of Securities" in the prospectus filed with the Securities
and Exchange Commission on February 27, 1998, as part of the Company's
Registration Statement on Form SB-2 (SEC Registration No. 333-47051), as amended
(the "Registration Statement"). The Registration Statement relates to a proposed
public offering of the Common Stock and the Warrants. The form of prospectus to
be subsequently filed by the Registrant pursuant to Rule 424(b) under the
Securities Act of 1933, as amended, shall be deemed to be incorporated herein by
reference.
Item 2. Exhibits.
The following is a complete list of Exhibits filed as part of this
Registration Statement or which are incorporated herein by reference:
1. A specimen of the Common Stock Certificate is incorporated herein by
reference to Exhibit 4.1 to the Registration Statement.
2. A specimen Warrant Certificate is incorporated herein by reference to
Exhibit 4.2 to the Registration Statement.
3. The Restated and Amended Articles of Incorporation of the Registrant is
incorporated herein by reference to Exhibit 3.1 to the Registration
Statement.
4. The Amended Bylaws of the Registrant is incorporated herein by
reference to Exhibit 3.2 to the Registration Statement.
5. The form of Representative's Option for the Purchase of Common Stock is
incorporated herein by reference to Exhibit 4.3 to the Registration
Statement.
6. The form of Revised Representative's Option for the Purchase of
Warrants is incorporated herein by reference to Exhibit 4.3A to the
Registration Statement.
7. The form of Warrant Agreement is incorporated herein by reference to
Exhibit 4.4 to the Registration Statement.
8. The Registrant's 1997 Stock Incentive Plan, as amended, with form of
Stock Option Agreement is incorporated herein by reference to Exhibit
10.2 to the Registration Statement.
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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.
FACTUAL DATA CORP.
Date: May 5, 1998 By /s/ Jerald H. Donnan
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Jerald H. Donnan
Chief Executive Officer
