FORM 8-A/A
SECURITIES AND EXCHANGE COMMOSSION
Washington, D.C. 20549
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
MEDIX RESOURCES, INC.
(Exact name of registrant as specified in its charter)
Colorado 84-1123311
(State of incorporation or (I.R.S. Employer
organization) Identification No.)
7100 E. Belleview Avenue, Suite 301
Englewood, Colorado 80111
(Address of principal executive offices)
Securities to be registered pursuant to Section 12(b) of the Act:
Title of each class Name of each exchange on
to be so registered: which each class is to be
registered:
Common Stock $.001 Par Value American Stock Exchange
Securities to be registered pursuant to Section 12(g) of the Act:
None
If this form relates to the registration of a class of securities pursuant to
Section 12(b) of the Exchange Act and is effective pursuant to General
Instruction A.(c), check the following box [x]
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MEDIX RESOURCES, INC.
FORM 8-A/A
Item 1. Description of Registrant's Securities to be Registered.
Reference is made to the description of the terms of the Common Stock prepared
in compliance with Item 202 of Regulation S-B, set forth beneath the caption
"Description of the Company's Securities" in the prospectus filed by Medix
Resources, Inc. (fka International Nursing Services, Inc.) (the "Company") with
the Securities and Exchange Commission (the "Commission") as part of the
Company's Registration Statement of Form SB-2 (Reg. No. 33-81582-D), as amended
(the "1933 Act Registration Statement").
Item 2. Exhibits
Pursuant to Item 1 of the "Instructions As To Exhibits" accompanying Form 8-A,
Exhibits 1 and 2 shall be filed as exhibits to this Form 8-A filed with the
Commission.
Exhibit Number Description
1. Specimen of certificate for the Common Stock is attached.
2. Copies of all constituent instruments defining the rights
of the holders of the Common Stock are incorporated herein
by reference to the Form 10-KSB of the Company for the
fiscal year 1999, filed with the Commission on March 30,
2000.
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, thereunto duly authorized.
MEDIX RESOURCES, INC.
Date: April 6, 2000 By: /s/ David Kinsella
------------------
David Kinsella, Secretary
SPECIMEN
COMMON STOCK COMMON STOCK
MEDIX RESOURCES, INC.
CONNECTING THE WORLD OF HEALTHCARE
MEDIX RESOURCES, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF COLORADO
THIS CERTIFICATE IS TRANSFERABLE SEE REVERSE FOR CERTAIN
IN DENVER, CO AND NEW YORK, NY DEFINITIONS AND FOR
INFORMATION REGARDING
AUTHORITY TO ISSUE A
STOCK OF MORE THAN ONE
CLASS
THIS IS TO CERIFY THAT
IS THE OWNER OF
FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK ($.001 PAR
VALUE) OF
MEDIX RESOURCES, INC.
CERTIFICATE OF STOCK
transferable on the books of the books of the Corporation by the holder hereof
in person or by duly authorized attorney upon surrender of this certificate
properly endorsed. This certificate and the shares represented hereby are issued
and shall be held subject to all of the provisions of the Articles of
Incorporation of the Corporation and the Bylaws of the Corporation and all
amendments thereto, to all of which the holder by the acceptance hereof assents.
This certificate is not valid unless countersigned by the Transfer Agent.
WITNESS the facsimile seal of the Corporation and the facsimile signatures
of its duly authorized officers.
Dated
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MEDIX RESOURCES, INC.
Transfer Fee: $10.00 Per Certificate Issued
The following abbreviations, when used in the inscription on the face of this
certificate, shall be construed as through 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 of under Uniform Gifts to Minors
survivorship and not as tenants in common Act __________
(State)
Additional abbreviations may also be used through not in the above list
For Value Received, ________________________________________ hereby
sell, assign and transfer unto
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
________________________________________________________________________________
(PLEASE PRINT OR TYPEWRITE NAME, AND ADDRESS INCLUDING ZIP CODE OF ASSIGNEE
________________________________________________________________________________
__________________________________________________________________________Shares
Of the capital stock represented by the within Certificate and do hereby
irrevocably constitute and appoint
________________________________________________________________________Attorney
To transfer the said stock on the books of the within named Corporation with
full power of substitution in the premisee.
Date:________________________
_____________________________________________
NOTICE:THE SIGNATURE TO THIS ASSIGNMENT MUST
CORRESPOND WITH THE NAME AS WRITTEN UPON
THE PAGE OF THE CERTIFICATE IN EVERY
PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT
OR ANY CHANGE WHATEVER
Signature(s) Guaranteed:
____________________________________
THE SIGNATURE(S) MUST BE GUARANTEED
BY AN ELIGIBLE GUARANTOR INSTITUTION
(BANKS, STOCK BROKERS, SAVINGS AND
LOAN ASSOCIATIONS AND CREDIT UNIONS
WITH MEMBERSHIP IN AN APPROVED
SIGNATURE GUARANTEE MEDALLION PROGRAM)
PURSUANT TO S.E.C. RULE 17Ad-15
KEEP THIS CERTIFICATE IN A SAFE PLACE IF IT IS LOST, STOLEN, MUTILATED OR
DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO
THE ISSUANCE OF A REPLACEMENT CERTIFICATE.
