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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
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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
Midwest Medical Insurance Holding Company
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(Exact name of registrant as specified in its charter)
<TABLE>
<S> <C>
Minnesota 41-1625287
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(State of Incorporation or Organization) (I.R.S. Employer Identification No.)
7650 Edinborough Way, Suite 400
Minneapolis, MN 55435
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(Address of Principal Executive Offices) (Zip Code)
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Securities to be registered pursuant to Section 12(b) of the Act:
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<S> <C>
Title of each class Name of each exchange on which
to be so registered each class is to be registered
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N/A None
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Securities to be registered pursuant to Section 12(g) of the Act:
Class C Common Stock
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(Title of Class)
Page 1 of 3 pages
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INFORMATION REQUIRED IN REGISTRATION STATEMENT
Item 1. Description of Registrant's Securities to be Registered.
The information contained in the section entitled "Description of
Capital Stock" in the registration statement on Form S-2 filed by the Registrant
on July 12, 2000, registration number 333-41274, as amended, is hereby
incorporated by reference in response to this item.
Item 2. Exhibits.
1. Restated Articles of Incorporation of the Registrant, as
amended (incorporated by reference to Exhibit 3A to the
registration statement on Form S-2 filed by the Registrant
July 12, 2000, registration number 333-41274).
2. Bylaws of the Registrant, as amended (incorporated by
reference to Exhibit 3B to the registration statement on Form
S-2 filed by the Registrant on July 12, 2000, registration
number 333-41274).
3. Pages 2-3 from the prospectus filed as part of the
registration statement on Form S-2, which includes a
description of the Registrant's Capital Stock (incorporated by
reference to the registration statement on Form S-2 filed by
the registrant on July 12, 2000, registration number
333-41274).
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SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Act of
1934, the Registrant has duly caused this registration statement to be signed on
its behalf by the undersigned, thereto duly authorized.
Midwest Medical Insurance Holding Company
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(Registrant)
Dated: July 21, 2000 By: /s/ Niles A. Cole
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Niles A. Cole, Chief Financial Officer
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