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FORM 8-A
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
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UNITED FINANCIAL MORTGAGE CORP.
(Exact name of registrant as specified in its charter)
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Illinois 36-3440533
(State of incorporation or organization) (I.R.S. Employee Identification Number)
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600 Enterprise Drive, Suite 206
Oak Brook, Illinois 60521
(Address of principal executive office) (Zip Code)
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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
Common Stock, No Par Value The Chicago Stock Exchange
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]
If this form relates to the registration of a class of securities pursuant to
Section 12(g) of the Exchange Act and is effective pursuant to General
Instruction A(d), check the following box. [ ]
Securities Act registration statement to which this form relates: No. 333-27037
Securities Act registered pursuant to Section 12(g) of the Act: NONE
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Item 1. Description of Registrant's Securities to Be Registered
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The information required by Item 1 is incorporated by reference to the
information appearing under the caption "Description of Securities - Common
Stock" on page 34 of the Prospectus that forms a part of the Registrant's
Registration Statement on Form SB-2, as amended, (File No. 333-27037).
Item 2. Exhibits
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The following documents are filed herewith unless noted as being
incorporated by reference pursuant to Rule 12b-32.
1. Specimen Certificate of Common Stock, no par value per share.
2. Articles of Incorporation of Registrant (incorporated herein by
reference to Exhibit 3(i) to Registrant's Registration Statement on Form
SB-2, File No. 333-27037).
3. By-Laws of Registrant (incorporated by reference to Exhibit 3(i) to
Registrant's Registration Statement on Form SB-2, File No. 333-27037).
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.
(Registrant) UNITED FINANCIAL MORTGAGE CORP.
(Date) May 13, 1998
By /s/ Joseph Khoshabe
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Joseph Khoshabe, President
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(LOGO)
NUMBER United Financial SHARES
MORTGAGE CORP.
INCORPORATED UNDER THE LAWS OF THE STATE OF ILLINOIS
SEE REVERSE FOR
CERTAIN DEFINITIONS
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CUSIP 910303 10 6
This Certifies that -SPECIMEN- --------------------
is the owner of New Cusip
910303304
Fully Paid and NonAssessable Shares of the Common Stock,
No Par Value Per Share, of
UNITED FINANCIAL MORTGAGE CORP.
transferable on the books of the Corporation by the holder himself in person or
by duly authorized attorney upon the surrender of this Certificate properly
endorsed. This Certificate and the shares represented hereby are issued and
shall be held subject to all the provisions of the Articles of Incorporation, as
amended, to all of which the holder by acceptance hereof asserts. This
Certificate is not valid unless countersigned by a Transfer Agent and registered
by the Registrar.
Witness, the facsimile seal of the Corporation and the facsimile signature
of its duly authorized officer.
Dated:
Please Supply Name
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PRESIDENT/SECRETARY
COUNTERSIGNED:
CORPORATE STOCK TRANSFER, INC.
370 - 17th Street, Suite 2350, Denver, Colorado 80202
By:_____________________________________________________
Transfer Agent and Registrar Authorized Officer
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UNITED FINANCIAL MORTGAGE CORP.
Corporate Stock Transfer, 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 though they were written out in full
according to applicable laws or regulations:
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TEN COM -- as tenants in common UNIF GIFT MIN ACT- ................. Custodian for ................
(Cust.) (Minor)
TEN ENT -- as tenants by the entireties under Uniform Gifts to Minors
JT TEN -- as joint tenants with right of Act of .........................................
survivorship and not as tenants (State)
in common
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
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Please print or type name and address 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 premises.
Dated ........................ 19..................
SIGNATURE GUARANTEED: X ..........................................................
X ..........................................................
THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THIS
CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER. THE
SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION, (Bank, Stockbrokers, Savings
and Loan Associations and Credit Unions) WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION
PROGRAM PURSUANT TO S.E.C. RULE 17Ad-15.
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