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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 (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
MEDIRISK, INC.
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(Exact name of registrant as specified in its charter)
Delaware 58-2256400
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(State of incorporation or organization) (I.R.S. Employer Identification No.)
Two Piedmont Center, Suite 400, 3565 Piedmont Road N.E.
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Atlanta, Georgia 30305-1502
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(Address of principal executive offices, including 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
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None
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, $0.001 par value per share
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(Title of Class)
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ITEM 1. DESCRIPTION OF SECURITIES TO BE REGISTERED.
The description of the Common Stock of the Registrant registered hereby
is incorporated by reference to "Description of Capital Stock" in the
Registrant's Form S-1 Registration Statement No. 333-12311, as filed with the
Securities and Exchange Commission on September 19, 1996, as amended on
December 23, 1996, and any amendments to such Registration Statement filed
subsequently hereto, including any form of Prospectus filed pursuant to Rule
424(b) under the Securities of 1933, as amended.
ITEM 2. EXHIBITS.
1. Certificate of Incorporation of the Registrant (incorporated herein
by reference to Exhibit 3.1 to the Registrant's Form S-1 Registration Statement
No. 333-12311 filed with the Securities and Exchange Commission on September
19, 1996).
2. Bylaws of the Registrant (incorporated herein by reference to
Exhibit 3.2 to the Registrant's Form S-1 Registration Statement No. 333-12311,
as filed with the Securities and Exchange Commission on September 19, 1996).
3. Specimen Stock Certificate of the Common Stock of the Registrant
(incorporated herein by reference to Exhibit 4.2 to the Registrant's Form S-1
Registration Statement No. 333-12311, as filed with the Securities and Exchange
Commission on September 19, 1996).
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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.
MEDIRISK INC.
/s/ Kenneth M. Goins, Jr.
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Kenneth M. Goins, Jr.
Executive Vice President and
Chief Financial Officer
Date: January 17, 1997
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