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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
Rolling Pin Kitchen Emporium, Inc.
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(Exact Name of Registrant as Specified in Its Charter)
Delaware 13-1421571
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(State of Incorporation or Organization) (I.R.S. Employer Identification No.)
4264 Winters Chapel Road, Building B
Atlanta, Georgia 30360
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(Address of Principal Executive Offices) (Zip Code)
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), please check the following box. [ ]
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), please check the following box. [ ]
Securities Act registration statement file number to which
this form relates: 333-63527
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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 Each Class
to be so Registered is to be Registered
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None None
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Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, par value $.01 per share
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(Title of Class)
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Item 1 Description of Registrant's Securities to be Registered.
The description of the Registrant's Common Stock, par value
$.01 per share (the "Common Stock"), is incorporated herein by reference to the
Registration Statement on Form SB-2 as filed with the Securities and Exchange
Commission on September 16, 1998, as amended.
Item 2 Exhibits.
a. Amended and Restated Certificate of Incorporation of the Registrant, is
incorporated herein by reference to Exhibit 3.1 to the Registrant's
Registration Statement on Form SB-2 under the Securities Act of 1933,
as amended, as filed with the Securities and Exchange Commission on
September 16, 1998.
b. Amended and Restated Bylaws of the Registrant are incorporated herein
by reference to Exhibit 3.2 to the Registrant's Registration Statement
of Form SB-2 under the Securities Act of 1933, as amended, as filed
with the Securities and Exchange Commission on September 16, 1998.
c. Form of certificate for the Registrant's Common Stock.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
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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.
ROLLING PIN KITCHEN EMPORIUM, INC.
Date: November 30, 1998 By: /S/ JOHN D. CRITSER
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John D. Critser
Chief Executive Officer and President
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EXHIBIT INDEX
EXHIBIT
NUMBER DESCRIPTION
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*1 Description of the Registrant's Common Stock to be registered.
2 Form of Certificate for the Registrant's Common Stock.
*3 Amended and Restated Certificate of Incorporation.
*4 Amended and Restated Bylaws.
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* Incorporated herein by reference to the Registrant's Registration Statement
on Form SB-2 under the Securities Act of 1933, as amended, as filed with
the Securities and Exchange Commission on September 16, 1998.
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<TABLE>
<CAPTION>
<S> <C> <C>
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RPA
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Rolling Pin Kitchen Emporium, Inc.
CLASS A CLASS A
COMMON STOCK INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE COMMON STOCK
CUSIP 775704109
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This is to certify that is the owner of
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FULLY PAID AND NON-ASSESSABLE SHARES OF THE CLASS A COMMON STOCK, $.01 PAR VALUE PER SHARE, OF
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CERTIFICATE OF STOCK
Transferable on the books of the Company by the registered holder hereof in person or by duly authorized
attorney upon surrender of this certificate properly endorsed. This certificate is not valid until counter
signed and registered by the Transfer Agent and Registrar. Witness the facsimile seal of the Company and
the facsimile signatures of its duly authorized officers.
Dated
/s/ GERALD CZARNECKI ROLLING PIN KITCHEN EMPORIUM, INC. /s/ GREG DUKOFF
------------------- CORPORATE ------------------------
SEAL Secretary
1994
DELAWARE
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The following abbreviations, when used in the inscription on the face
of this certificate, shall be considered as though they were written out in
full according to applicable laws or regulations.
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<CAPTION>
<S> <C>
TEN COM -- as tenants in common UNIP 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 Act ...........................
in common (State)
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 TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)
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- ---------------------------------------------------------------------------------------------- Shares
represented by the within Certificate, and do hereby irrevocably constitute and appoint
- ----------------------------------------------------------------------------------------------Attorney
to transfer the said shares on the books of the within-named Corporation with full power of
substitution in the premises.
Dated
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NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND
WITH THE NAME AS WRITTEN UPON THE FACE OF THE
CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR
ENLARGEMENT OR ANY CHANGE WHATEVER
SIGNATURE(S) GUARANTEED:
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THE SIGNATURES SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION
(BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS
WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM)
PURSUANT TO SEC RULE 17AG-15.
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