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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 (g) of the
Securities Exchange Act of 1934
PlanetRx.com, Inc.
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(Exact name of registrant as specified in its charter)
Delaware 94-3227733
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(State of incorporation or organization) (I.R.S. Employer
Identification Number)
349 Oyster Point Blvd., Suite 201
S. San Francisco, California 94080
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(Address of principal executive offices) (Zip Code)
If this Form relates to the If this Form relates to the
registration of a class of debt registration of a class of debt
securities and is effective upon securities and is to become effective
filing pursuant to General simultaneously with the effectiveness
Instruction A(c)(1) please check the of a concurrent registration
following box. statement under the Securities Act of
1933 pursuant to General Instruction
A(c)(2) please check the following
box. [_]
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
Not Applicable Not Applicable
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Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, $0.0001 par value
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(Title of class)
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Item 1. Description of Registrant's Securities to be Registered.
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Incorporated herein by reference to the Description of Capital Stock
section of the Company's Registration Statement on Form S-1 (File No. 333-
82485).
Item 2. Exhibits.
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Exhibit
Number Description
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<C> <S>
3.1 Certificate of Incorporation of Registrant, as amended to
date - incorporated herein by reference to Exhibit 3.1 to
the Company's Registration Statement on Form S-1 (File No.
333-82485).
3.2 Form of Restated Certificate of Incorporation of
Registrant to be filed upon the closing of the
Registrant's initial public offering - incorporated herein
by reference to Exhibit 3.2 to the Company's Registration
Statement on Form S-1 (File No. 333-82485).
3.3 Bylaws of Registrant - incorporated herein by reference to
Exhibit 3.3 to the Company's Registration Statement on
Form S-1 (File No. 333-82485).
3.4 Form of Amended and Restated Bylaws of Registrant to be
effective upon the closing of the Registrant's initial
public offering - incorporated herein by reference to
Exhibit 3.4 to the Company's Registration Statement on
Form S-1 (File No. 333-82485).
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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.
PLANETRX.COM, INC.
Date: September 22, 1999 By: /s/ Steve Valenzuela
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Steve Valenzuela
Vice President Finance, and
Chief Financial Officer
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EXHIBITS
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<CAPTION>
Exhibit
Number Description
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<C> <S>
3.1 Certificate of Incorporation of Registrant, as amended to
date - incorporated herein by reference to Exhibit 3.1 to
the Company's Registration Statement on Form S-1 (File No.
333-82485).
3.2 Form of Restated Certificate of Incorporation of
Registrant to be filed upon the closing of the
Registrant's initial public offering - incorporated herein
by reference to Exhibit 3.2 to the Company's Registration
Statement on Form S-1 (File No. 333-82485).
3.3 Bylaws of Registrant - incorporated herein by reference to
Exhibit 3.3 to the Company's Registration Statement on
Form S-1 (File No. 333-82485).
3.4 Form of Amended and Restated Bylaws of Registrant to be
effective upon the closing of the Registrant's initial
public offering - incorporated herein by reference to
Exhibit 3.4 to the Company's Registration Statement on
Form S-1 (File No. 333-82485).
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