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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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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
MEEMIC Holdings, Inc.
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(Exact name of registrant as specified in its charter)
MICHIGAN 38-3436541
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(State of incorporation or organization) (I.R.S. employer
identification number)
691 North Squirrel Road, Suite 200, Auburn Hills, MI 48326
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(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 so registered each class is to be registered
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Common Stock (no par value) NASDAQ National Market
Securities to be registered pursuant to Section 12(g) of the Act:
None.
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Page 2 of 2 pages
ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED.
The description of the Registrant's Common Stock, set forth under the
caption "Description of Securities" in the Registrant's Registration
Statement on Form S-1 (No. 333-66671) (the "Registration Statement"), is
incorporated herein by reference.
ITEM 2. EXHIBITS.
None.
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: November 6, 1998 MEEMIC HOLDINGS, INC.
By: /s/ R. Kevin Clinton
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R. Kevin Clinton
Its: President and Chief Executive Officer
