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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
UROSURGE, INC.
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(Exact name of Registrant as specified in its charter)
Delaware 04-32224111
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(State of incorporation or organization) (IRS Employer I.D. No.)
2660 Crosspark Road, Coralville, Iowa 52241
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(Address of principal executive offices)
Securities to be registered pursuant to Section 12(b) of the Act:
NONE
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Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, $0.01 par value
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Item 1. Description of Registrant's Securities to be Registered
Incorporated by reference to the section titled "Description of
Capital Stock" in the Prospectus contained in Registrant's
Registration Statement on Form S-1 filed on April 9, 1998 (the
"S-1 Registration Statement").
Item 2. Exhibits
The following exhibits are filed as a part of this registration
statement:
1.* Specimen certificate for Registrant's Common Stock;
2.** Restated Certificate of Incorporation, as currently in
effect;
3.*** Form of Restated Certificate of Incorporation to be
filed after the closing of the offering made under the
S-1 Registration Statement.
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* Incorporated by reference to Exhibit 4.1 to the S-1 Registration
Statement.
** Incorporated by reference to Exhibit 3.1 to the S-1 Registration
Statement.
*** Incorporated by reference to Exhibit 3.2 to the S-1 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.
Date: April 9, 1998
UROSURGE, INC.
By: /s/ RANDAL L. OWENS
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Randal L. Owens, Chief Financial Officer
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