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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 12(g) OF THE
SECURITIES EXCHANGE ACT OF 1934
INSURANCE MANAGEMENT SOLUTIONS GROUP, INC.
(Exact name of registrant as specified in its charter)
Florida 59-3422536
(State of incorporation or organization) (I.R.S. Employer Identification No.)
360 Central Avenue
St. Petersburg, Florida 33701
(Address of principal executive offices)
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: 333-57747
Securities to be registered pursuant to Section 12(b) of the Act:
None
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, $.01 par value
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Item 1. Description of Registrant's Securities to be Registered
The Registrant hereby incorporates by reference herein the description
of the Registrant's Common Stock, $.01 par value per share, appearing under the
caption "Description of Capital Stock" in the Prospectus contained in the
Registrant's Registration Statement on Form S-1, as filed with the Securities
and Exchange Commission on June 25, 1998 under Commission File No. 333-57747
(as amended from time to time, the "Registration Statement"), and as such
section may be amended at the time the Registration Statement is declared
effective. The form of the Registrant's Amended and Restated Articles of
Incorporation and Amended and Restated Bylaws are filed as Exhibits 3.1 and
3.2, respectively, to the Registration Statement.
Item 2. Exhibits
The following exhibits are filed as part of this registration
statement:
2(a) Amendment No. 2 to the Registration Statement, as filed
with the Securities and Exchange Commission on December 21,
1998 (Reg. No. 333-57747) (incorporated by reference).
2(b) Amended and Restated Articles of Incorporation.(1)
2(c) Amended and Restated Bylaws.(2)
2(d) Copy of form of stock certificate for the Registrant's Common
Stock.(3)
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(1) Incorporated herein by reference to Exhibit 3.1 to the Registrant's
Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the
Securities and Exchange Commission on June 25, 1998.
(2) Incorporated herein by reference to Exhibit 3.2 to the Registrant's
Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the
Securities and Exchange Commission on June 25, 1998.
(3) Incorporated by reference to Exhibit 4.1 to Amendment No. 2 to the
Registrant's Registration Statement on Form S-1 (Reg. No. 333-57747) filed with
the Securities and Exchange Commission on December 21, 1998.
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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, thereunto duly authorized.
INSURANCE MANAGEMENT SOLUTIONS
GROUP, INC.
(Registrant)
By: /s/ Kelly K. King
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Kelly K. King
Vice President, Secretary,
Treasurer and Chief Financial Officer
Dated: January 15, 1999
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EXHIBIT INDEX
2(a) Amendment No. 2 to the Registration Statement, as filed with the
Securities and Exchange Commission on December 21, 1998 (Reg. No.
333-57747) (incorporated by reference).
2(b) Amended and Restated Articles of Incorporation.(1)
2(c) Amended and Restated Bylaws.(2)
2(d) Copy of form of stock certificate for the Registrant's Common Stock.(3)
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(1) Incorporated herein by reference to Exhibit 3.1 to the Registrant's
Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the
Securities and Exchange Commission on June 25, 1998.
(2) Incorporated herein by reference to Exhibit 3.2 to the Registrant's
Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the
Securities and Exchange Commission on June 25, 1998.
(3) Incorporated by reference to Exhibit 4.1 to Amendment No. 2 to the
Registrant's Registration Statement on Form S-1 (Reg. No. 333-57747) filed with
the Securities and Exchange Commission on December 21, 1998.
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