UNITED STATES
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
Medical Advisory Systems, Inc.
(Exact name of registrant as specified in its charter)
Delaware 52-12333960
(State of incorporation or organization) (I.R.S. Employer Identification No.)
8050 Southern Maryland Blvd., Owings, MD 20736
(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
Common Stock American Stock Exchange
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 statements file number to which
this form relates: N/A
Securities to be registered pursuant to Section 12(g) of the
Act: N/A
INFORMATION REQUIRED IN REGISTRATION STATEMENT
Item 1. Description of Registrant's Securities to be Registered.
Furnish the information required by Item 202 of
Registration S-K (229.202 od this chapter) or Item 202 of
Regulation S-B (228.202 of this chapter) as applicable.
Instruction. If a description of the securities comparable
to that required here is contained in ant prior filing with the
Commission, such description may be incorporated by
reference to such other filing in answer to this item. If such
description will be included in a form of prospectus
subsequently filed by the registrant pursuant to Rule 424(b)
under the Securities Act (230.424(b) of this chapter), this
registration statement shall state that such that such
prospectus shall be deemed to be incorporated by reference
into the registration statement. If the securities are to be
registered on a national securities exchange and the
description has not previously been filed with such
exchange, copies of the description shall be filed with copies
of the application filed with the exchange.
Item 2. Exhibits
List below all exhibits filed as a part of the
registration statement:
Instruction, See the instruction as to exhibits, set
forth below.
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 authorizes.
(Registrant) Medical Advisory Systems, Inc.
Date July 21, 1999
By /s/ Ronald W. Pickett
Ronald W. Pickett, President
INSTRUCTIONS AS TO EXHIBITS
If the securities to be registered on this form are to be
registered on an exchange on which other securities of the
registrant are registered, or are to be registered pursuant to
Section 12(g) of the Act, copies of all constituent
instruments defining the rights of the holders of each class of
such securities, including any contracts or other documents
which limit or qualify the rights of such holders, shall be
filed as exhibits with each copy of the registration statement
filed with the Commission or with an exchange, subject to
Rule 12b-32 regarding incorporation of exhibits by
reference.
