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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
Physician Support Systems, Inc.
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(Exact Name of Registrant as Specified in its Charter)
Delaware 13-3624081
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(State of Incorporation or Organization) (I.R.S. Employer
Identification no.)
Route 230 & Eby Chiques Road
Mt. Joy, PA 17552
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(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
___________________ ______________________________
None Not Applicable
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, par value $.001 per share
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(Title of Class)
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Item 1. Description of Registrant's Securities to be Registered.
The information called for by this item is incorporated by
reference to the information set forth under the caption "Description of Capital
Stock--Common Stock" in the Registrant's Registration Statement on Form S-1
(Registration No. 33-80731) filed on December 21, 1995 (the "Registration
Statement") with the Securities and Exchange Commission under the Securities Act
of 1933, as amended.
Item 2. Exhibits.
1 Certificate of Incorporation of the Registrant (incorporated by reference
to Exhibit 2.2 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.
PHYSICIAN SUPPORT SYSTEMS, INC.
Dated: January 3, 1995 By /s/ Hamilton F. Potter III
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Name: Hamilton F. Potter III
Title: Executive Vice President
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