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
Emclaire Financial Corp.
- --------------------------------------------------------------------------------
(Exact name of registrant as specified in its charter)
Pennsylvania 25-1606091
- ---------------------------------------- --------------------------------
(State of incorporation or organization) (IRS Employer Identification No.)
612 Main Street
Emlenton, Pennsylvania 16373-0046
- ---------------------------------------- --------------------------------
(Address of principal executive offices) (Zip Code)
If this Form relates to the registration If this Form relates to the
of a class of debt securities and is effective registration of a class of debt
upon filing pursuant to General Instruction securities and is to become
A(c)(1) please check the following box. effective simultaneously with the
[ ] effectiveness of a concurrent
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:
NONE
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, par value $1.25 per share
- --------------------------------------------------------------------------------
(Title of class)
<PAGE>
Item 1. Description of Registrant's Securities to be Registered
The information set forth under the captions "Description of Capital
Stock" and "Certain Restrictions on Acquisition of the Company" in the
registrant's Prospectus included in Part I of the registrant's Registration
Statement on Form SB-2 originally filed with the Securities and Exchange
Commission on September 11, 1996 (File No. 333-11773), is hereby incorporated by
reference in response to this Item 1. Information set forth under the captions
"Description of Capital Stock" and "Certain Restrictions on Acquisition of the
Company" contained in a prospectus relating to SEC File No. 333-11773 and
subsequently filed by the registrant pursuant to 17 C.F.R. ss.230.424(b) shall
be deemed to be incorporated by reference into this registration statement.
Item 2. Exhibits
Exhibit Description
- ------- -----------
1 Copies of the last Annual Report filed pursuant to
Section 13 or 15(d) of the Securities Exchange Act
of 1934 (the "Act") or if unavailable, the latest
registration statement filed pursuant to Section
12(b) or (g) of the Act, or pursuant to the
Securities Act of 1933. (Incorporated by reference
to the Registration Statement on Form SB-2 first
filed pursuant to the Securities Act of 1933 on
September 11, 1996, file number 333-11773).
2* Copies of all current, quarterly, or semi-annual
reports filed pursuant to Section 13 or 15(d) of
the Act since the end of the fiscal year, or if
none, since the effective date of the latest
registration statement so filed.
3* Copies of the latest definitive proxy statement or
information statement filed pursuant to Section 14
of the Act.
4 Copies of the charter and bylaws, or other
instruments corresponding thereto, and any other
documents defining the rights of holders of
securities. (Incorporated by reference to Exhibits
3(i) (Articles of Incorporation) and 3(ii)
(Bylaws) of the Exhibits to the Registration
Statement on Form SB-2 first filed pursuant to the
Securities Act of 1933 on September 11, 1996, file
number 333-11773).
- ------------------------
* Not applicable or does not apply to registrant.
1
<PAGE>
Exhibit Description
- ------- -----------
5 5 Specimens or copies of each security to be
registered (Incorporated by reference to Exhibit 4
of the Registration Statement on Form SB-2 first
filed pursuant to the Securities Act of 1933 on
September 11, 1996, file number 333-11773).
6 Copies of the last Annual Report submitted to
stockholders by the registrant or its
predecessors. (Incorporated herein by reference
into this document from the Exhibits to the
Registrant's Annual Report on Form 10-KSB for the
Year Ended December 31, 1996 filed with the
Securities and Exchange Commission on March 31,
1997, File No.
333-11773).
- ------------------------
* Not applicable or does not apply to registrant.
2
<PAGE>
SIGNATURES
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.
EMCLAIRE FINANCIAL CORP.
Date: April 25, 1997 By /s/David Cox
------------
David Cox, President
(Duly authorized representative)
