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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
Santa Fe Energy Resources, Inc.
(Exact name of registrant as specified in its charter)
Delaware 36-2722169
(State of incorporation or (I.R.S. Employer
organization) Identification No.)
1616 South Voss Road, Suite 1000, Houston, Texas 77057
(Address of principal executive offices) (Zip Code)
Securities to be registered pursuant to Section 12(b) of the Act:
Name of each exchange
Title of each class on which each class
to be so registered is to be registered
$ ______ Series A Convertible Preferred Stock New York Stock Exchange
Securities to be registered pursuant to Section 12(g) of the Act:
None
(Title of class)
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Item 1. Description of Registrant's Securities to be Registered.
The description of the $ _____ Series A Convertible Preferred Stock is set forth
under the section entitled "Description of the DECS" contained in the Preferred
Stock Offering Prospectus filed with the Commission on March 28, 1994 as part
of the Registrant's Registration Statement on Form S-3 (Reg. No. 33-52849) (the
"Registration Statement") and is hereby incorporated by reference in answer to
this item.
Item 2. Exhibits.
1. Registration Statement on Form S-3 (Reg. No. 33-52849) as filed with
the Securities and Exchange Commission on March 28, 1994.
2. Form of Stock Certificate representing shares of $ ____ Series A
Convertible Preferred Stock.
3. Form of Certificate of Designations of $ ____ Series A Convertible
Preferred Stock (filed as Exhibit 4.3 to the Registration Statement
and incorporated herein by reference).
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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.
Date: April 8, 1994 Santa Fe Energy Resources, Inc.
By: /s/ Mark A. Older
___________________________
Mark A. Older,
Secretary
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Index to Exhibits
<TABLE>
<CAPTION>
Sequentially
Exhibit Numbered
Number Description Page
- ----- ----------- ----
<S> <C> <C>
1. Registration Statement on Form S-3 (Reg. No. 33-52849)
as filed with the Securities and Exchange Commission on
March 28, 1994.
2. Form of Stock Certificate representing shares of 5
$ ____ Series A Convertible Preferred Stock.
3. Form of Certificate of Designations of $ ____ Series A
Convertible Preferred Stock (filed as Exhibit 4.3 to
the Registration Statement and incorporated herein by
reference).
</TABLE>
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$ ___________ Series A $ _______ Series A
Convertible Convertible
Preferred Stock Preferred Stock
NUMBER _______ SHARES _________
CUSIP _________
SEE REVERSE FOR CERTAIN DEFINITIONS
SANTA FE ENERGY RESOURCES, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
This is to certify that________________________________________________
is the owner of ______________ fully paid and non-assessable shares of $ _____
Series A Convertible Preferred Stock, par value $0.01 per share, of Santa Fe
Energy Resources, Inc. transferable on the books of the corporation by the
holder hereof in person or by attorney upon surrender of this certificate
properly endorsed. This certificate is not valid until countersigned by the
Transfer Agent and registered by the Registrar. Witness the seal of the
corporation and the facsimile signatures of its duly authorized officers.
Dated: _________________________
President
_________________________
Secretary
COUNTERSIGNED AND REGISTERED:
FIRST CHICAGO TRUST COMPANY OF NEW YORK
TRANSFER AGENT AND REGISTRAR
BY
AUTHORIZED OFFICER
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SANTA FE ENERGY RESOURCES, INC.
Any shareholder may obtain, without charge, by request to the Office of
the Secretary of the Corporation in Houston, Texas, a copy of a statement of the
rights, preferences, privileges and restrictions granted to or imposed upon the
shares of $ ____________ Series A Convertible Preferred Stock represented hereby
and of each other class or series of shares authorized to be issued by the
Corporation and upon the holders thereof.
The following abbreviations, when used in the inscription on the face of
this certificate, shall be construed as though they were written out in full
according to applicable laws or regulations:
TEN-COM as tenants in common UNIF GIFT MIN ACT ____________Custodian________
TEN ENT as tenants by the entireties (Cust) (Minor)
JT TEN as joint tenants with right under Uniform Gifts to
of survivorship and not as Minors Act __________________
tenants in common (State)
Additional abbreviations may also be used though not in the above list.
For Value Received, __________________ hereby sell, assign and transfer unto
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
_______________________________________
_______________________________________________________________________________
(NAME AND ADDRESS OF TRANSFEREE SHOULD BE PRINTED OR TYPEWRITTEN)
_______________________________________________________________________________
_______________________________________________________________________________
________________________________________________________________________ Shares
represented by the within Certificate and do hereby irrevocably constitute
and appoint
______________________________________________________________________ Attorney
to transfer the said Shares on the share register of the within-named
Corporation, with full power of substitution in the premises.
Dated ______________________
____________________________
SIGNATURE
NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS
WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT
ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.
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