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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 12(g) OF THE
SECURITIES EXCHANGE ACT OF 1934
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<S> <C>
American Coin Merchandising, Inc. American Coin Merchandising Trust I
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(Exact name of registrant as specified in (Exact name of registrant as specified in
charter) certificate of trust)
Delaware Delaware
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(State of incorporation or organization) (State of incorporation or organization)
84-1093721 84-6329379
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(I.R.S. Employer Identification No.) (I.R.S. Employer Identification No.)
5660 Central Avenue, Boulder, Colorado 80301
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(Address of Principal Executive Offices) (Zip Code)
If this form relates to the registration of a If this form relates to the registration of a
class of securities pursuant to Section 12(b) of class of securities pursuant to Section 12(g) of
the Exchange Act and is effective pursuant to the Exchange Act and is effective pursuant to
General Instruction A. (c), please check the General Instruction A.(d), please check the
following box. [X] following box [ ]
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Securities Act registration statement file number to which this form relates:
333-60267
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(If applicable)
Securities to be registered pursuant to Section 12(b) of the Act:
Title of Each Class Names of Each Exchange on Which
to be so Registered Each Class is to be Registered
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Trust Preferred Securities American Stock Exchange, Inc.
Junior Subordinated Debentures None
Guarantee None
Securities to be registered pursuant to Section 12(g) of the Act:
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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 Registrant's Trust Preferred Securities, Junior
Subordinated Debentures and Guarantee being registered hereby is contained in
the Registrant's Registration Statement on Form S-3, as amended (Registration
No. 333-60267) (the "Registration Statement"), initially filed with the
Securities and Exchange Commission on July 31, 1998, under the captions
"Description of Trust Preferred Securities," "Description of Junior
Subordinated Debentures" and "Description of Guarantee" and are incorporated
herein by reference.
ITEM 2. EXHIBITS.
Each of the following exhibits to this registration statement has been
filed as an exhibit to the Registration Statement (as defined above) and is
incorporated herein by reference:
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Exhibit
Number Description
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4.1 Certificate of Trust of American Coin Merchandising Trust I.
4.5 Trust Agreement of American Coin Merchandising Trust I.
4.9 Amended and Restated Trust Agreement of American Coin Merchandising Trust I.
4.10 Form of Junior Subordinated Indenture between the Registrant and Wilmington Trust Company, as Trustee.
4.11 Form of Guarantee Agreement with respect to Trust Preferred Securities of ACMI Merchandising Trust I.
4.13 Form of Certificate Evidencing Trust Preferred Securities.
4.14 Form of Certificate Evidencing Trust Common Securities.
4.15 Form of __% Junior Subordinated Deferrable Interest Debenture.
4.16 Form of Officers' Certificate and Company Order to be used in connection with the issuance of the __%
Junior Subordinated Deferrable Interest Debenture.
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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.
AMERICAN COIN MERCHANDISING, INC.
Date: August 17, 1998 By: /s/ Jerome M. Lapin
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Jerome M. Lapin
President and Chief Executive
Officer
AMERICAN COIN MERCHANDISING TRUST I
Date: August 17, 1998 By: /s/ Jerome M. Lapin
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Jerome M. Lapin
As trustee
