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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
MEDIQUAL SYSTEMS, INC.
(Exact name of registrant as specified in its charter)
DELAWARE 36-3112859
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(State of incorporation or organization) (I.R.S. Employer
Identification No.)
1900 West Park Drive, Westborough, Massachusetts 01581
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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 filing securities and is to become effective
pursuant to General Instruction A(c)(1) effectiveness of a concurrent
please check the following box. / / effectiveness of a current
registration 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 of Name of each exchange on which
securities to be registered each class is to be registered
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None.
SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT:
Common Stock, $.001 par value
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(Title of Class)
INFORMATION REQUIRED IN REGISTRATION STATEMENT
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Item 1. Description of Registrant's Securities to be Registered
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The information required by Item 202 of Regulation S-K is included under
the heading "Description of Capital Stock" in the Registrant's Registration
Statement on Form S-1, filed with the Securities and Exchange Commission on May
31, 1996, as amended, including any form of the prospectus contained therein
filed by the Registrant pursuant to Rule 424(b) under the Securities Act of
1933, as amended (the "Registration Statement"), which is incorporated herein by
reference.
Item 2. Exhibits
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1. The Amended and Restated Certificate of Incorporation of the Registrant
is incorporated herein by reference to Exhibit 3.1 to the Registration
Statement.
2. The Amended and Restated By-Laws of the Registrant are incorporated
herein by reference to Exhibit 3.2 to the Registration Statement.
3. A specimen copy of the certificate representing shares of the
Registrant's Common Stock is incorporated herein by reference to Exhibit 4.1 to
the Registration Statement.
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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.
MEDIQUAL SYSTEMS, INC.
By: /s/ William C. Price
_____________________________
Name: William C. Price
Title: Vice President and
Chief Financial Officer
DATED: May 31, 1996
