<PAGE> 1
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
APACHE Medical Systems, Inc.
- -------------------------------------------------------------------------------
(Exact name of registrant as specified in its charter)
Delaware 23-2476415
- ---------------------------------------- -------------------------------------
(State of incorporation or organization) (I.R.S. Employer Identification No.)
1650 Tysons Boulevard
McLean, Virginia 22102
- ---------------------------------------- -------------------------------------
(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 None
- ---------------------------------------- -------------------------------------
If this Form relates to the registration of a class of debt securities and is
effective upon filing pursuant to General Instruction A.(c)(1), please check
the following box. / /
If this Form relates to the registration of a class of debt securities and is
to become 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(g) of the Act:
Common Stock
$.01 par value per share
- -------------------------------------------------------------------------------
(Title of class)
<PAGE> 2
ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED
The description of the Common Stock of APACHE Medical Systems, Inc. (the
"Company") to be registered hereunder is set forth under the heading
"Description of Capital Stock" in the Company's Registration Statement on Form
S-1 (Registration No. 333-4106) (the "Registration Statement") filed by the
Company with the Securities and Exchange Commission on April 26, 1996, which
description is incorporated herein by reference.
ITEM 2. EXHIBITS
1. Amended and Restated Certificate of Incorporation of APACHE
Medical Systems, Inc. is set forth as Exhibit 3.1 to the
Registration Statement and is incorporated herein by reference.
2. By-Laws of APACHE Medical Systems, Inc. are set forth as
Exhibit 3.2 to the Registration Statement and are incorporated
herein by reference.
-2-
<PAGE> 3
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, thereunto duly authorized.
Dated: June 3, 1996 APACHE MEDICAL SYSTEMS, INC.
By: /s/ Gerald E. Bisbee, Jr.
------------------------------------
Gerald E. Bisbee, Jr.
Chairman and Chief Executive Officer
-3-
<PAGE> 4
EXHIBIT INDEX
Exhibit
Number Description Page
- ------- ----------- ----
1. Amended and Restated Certificate of Incorporation of
APACHE Medical Systems, Inc. is set forth as Exhibit 3.1 to the
Registration Statement and is incorporated herein by reference.
2. By-Laws of APACHE Medical Systems, Inc. are set forth
as Exhibit 3.2 to the Registration Statement and are incorporated
herein by reference.
-4-