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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES AND EXCHANGE ACT OF 1934
Birner Dental Management Services, Inc.
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(Exact Name of Registrant as Specified in its Charter)
Colorado 84-1307044
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(State of Incorporation or Organization) (I.R.S. Employer Identification no.)
3801 East Florida Avenue, Suite 208
Denver, Colorado 80210
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(Address of principal executive offices) (zip code)
If this Form relates to the registration If this Form relates to the
of a class of debt securities and is registration of a class of debt
effective upon filing pursuant to securities and is to become
General Instruction A(c)(1) please check effective simultaneously with the
the following box. [ ] effectiveness of a concurrent
registration statement under the
Securities Act of 1933 pursuant to
General Instruction A(c)(2) please
check the following box. [ ]
Securities to be registered pursuant to Section 12(b) of the Act:
Title of Each Class to Name of Each Exchange on Which
be so Registered Each Class is to be Registered
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None Not Applicable
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Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, without par value
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(Title of class)
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED.
A description of the Common Stock to be registered hereunder is
contained in the section entitled "Description of Capital Stock," commencing at
page 58 of the Prospectus, included in the Registrant's Form S-1 Registration
Statement, filed under the Securities Act of 1933 with the Securities and
Exchange Commission on September 25, 1997, File No. 333-36391, as amended (the
"Registration Statement") and is incorporated herein by reference.
ITEM 2. EXHIBITS.
Exhibit
Number Description
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3.1 Amended and Restated Articles of Incorporation.*
3.2 Amendments to Amended and Restated Articles of Incorporation.*
3.3 Amended and Restated Bylaws.*
4.2 Specimen Stock Certificate.*
*Incorporated by reference to the Registration Statement
SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange
Act of 1934, the Registrant has caused this registration statement to be signed
on its behalf by the undersigned, thereto duly authorized.
BIRNER DENTAL MANAGEMENT
SERVICES, INC.
DATE: NOVEMBER 10, 1997 BY: /s/ Dennis N. Genty
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Dennis N. Genty
Chief Financial Officer, Secretary, Treasurer
and Director
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