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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
CareInsite, Inc
(Exact name of registrant as specified in its charter)
Delaware 22-3630930
(State of incorporation or organization) (I.R.S. Employer Identification No.)
669 River Drive, River Drive Center II
Elmwood Park, New Jersey 07407
(Address of principal executive offices) (Zip-Code)
If this Form relates to the registration of a class of debt securities and is
effective upon filing pursuant to General Instruction A.(c)(1), please check the
following box. [ ]
If this Form relates to the registration of a class of debt securities and is to
become effective simultaneously with the effectiveness of a concurrent
registration statement under the Securities Act of 1933 pursuant to General
Instruction A.(c)(2), please check the following box. [ ]
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), please 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), please check the following box. [X]
Securities Act registration statement file number to which this Form relates:
333-75071
Securities to be registered pursuant to Section 12(b) of the Act:
Title of each class
to be so registered
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None
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, par value $.01 per share
[Title of Class]
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INFORMATION REQUIRED IN REGISTRATION STATEMENT
Item 1. Description of Registrant's Securities to be Registered.
The contents of Amendment No. 6 to Registration Statement on Form S-1
(Registration Statement No. 333-75071) and the prospectus, dated June 11, 1999,
forming a part thereof, relating to the Common Stock, are incorporated herein by
reference.
Item 2. Exhibits.
1. Amended and Restated Certificate of Incorporation of the
Registrant.*
2. Bylaws of the Registration.*
3. Specimen Certificate Representing Common Stock.*
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* As previously filed as an exhibit to the Registration Statement on Form S-1
of CareInsite, Inc., filed with the Securities and Exchange Commission (the
"Commission") on March 26, 1999 and amended on April 23, 1999, May 6, 1999,
May 17, 1999, May 26, 1999, June 3, 1999 and June 11, 1999 (Registration
Statement No. 333-75071).
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SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange
Act of 1934, the registrants have duly caused this registration statement to be
signed on their behalf by the undersigned, thereto duly authorized, on June 11,
1999.
CAREINSITE, INC
By /s/ David C. Amburgey
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Name: David C. Amburgey
Title: Senior Vice President -
General Counsel and Secretary
