<PAGE>
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
BALSAM VENTURES, INC.
------------------------------------------------------
(Exact name of registrant as specified in its charter)
Nevada 52-2219056
------ ----------
(State of incorporation (I.R.S. Employer
or organization) Identification No.)
12 - 5880 Hampton Place
Vancouver, British Columbia V6T 2E9
--------------------------- -------
(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 of which
to be so registered each class is to be registered
Not Applicable Not Applicable
-------------- --------------
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: 333-33574 (if applicable)
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, par value of $0.001
---------------------------------
(Title of class)
1
<PAGE>
Item 1. Description of Registrant's Securities to be Registered.
The description of securities contained in Registrant's
Registration Statement on Form SB-2, as amended, filed with the
commission (File No. 333-33574) is incorporated by reference into
this registration statement.
Item 2. Exhibits
EXHIBIT
NUMBER DESCRIPTION
------- -----------
3.1 Articles of Incorporation*
3.2 Amended By-Laws*
4.1 Share Certificate*
-------
*Incorporated herein by reference to the exhibits of the same number in
Registrant's Registration Statement on Form SB-2, as amended.
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 8, 2000
BALSAM VENTURES, INC.
Registrant
/s/ Robert S. Smith
By: __________________________
Robert S. Smith, President
2
