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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
Gentiva Health Services, Inc.
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(Exact name of registrant as specified in its charter)
Delaware 11-3454104
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(State of incorporation or organization) (I.R.S. Employer Identification No.)
175 Broad Hollow Road
Melville, New York 11747
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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 The Nasdaq National Market
Purchase Rights
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. [ x ]
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. [ ]
Securities Act registration statement file number to which this form
relates:
333-88663 (if applicable)
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Securities to be registered pursuant to Section 12(g) of the Act:
None
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(Title of class)
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Item 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED.
(a) Description of Common Stock in the section entitled
"Description of Gentiva Health Services Capital
Stock" to the Registration Statement on Form S-4, as
amended (File No. 333-88663) (the "Registration
Statement") is hereby incorporated by reference in
accordance with Rule 12b-32 ("Rule 12b-32") under the
Securities Exchange Act of 1934.
(b) Description of Purchase Rights in the section
entitled "Summary of Rights under Gentiva Health
Services Rights Agreement" in the Registration
Statement is hereby incorporated by reference in
accordance with Rule 12b-32 under the Securities
Exchange Act of 1934.
Item 2. EXHIBITS
(a) Amended and Restated Certificate of Incorporation of
the Registrant filed as an exhibit to the
Registration Statement is hereby incorporated by
reference in accordance with Rule 12b-32 under the
Securities Exchange Act of 1934.
(b) Amended and Restated By-Laws of the Registrant filed
as an exhibit to the Registration Statement is hereby
incorporated by reference in accordance with Rule
12b-32 under the Securities Exchange Act of 1934.
(c) Rights Agreement, dated as of , 2000, between
the Registrant and EquiServe Limited Partnership, as
Rights Agent filed as an exhibit to the Registration
Statement is hereby incorporated by reference in
accordance with Rule 12b-32 under the Securities
Exchange Act of 1934.
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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.
GENTIVA HEALTH SERVICES, INC.
Date: February 4, 2000 By: /s/ Edward A. Blechschmidt
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Name: Edward A. Blechschmidt
Title: President, Chief
Executive Officer and
Chairman of the Board
of Directors
