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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
American Coin Merchandising, Inc.
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(Exact Name of Registrant as Specified in its Charter)
Delaware 84-1093721
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(State of Incorporation or Organization) (I.R.S. Employer
Identification No.)
5660 Central Avenue, Boulder, Colorado 80301
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(Address of Principal Executive Offices) (Zip Code)
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If this form relates to the registration of a If this form relates to the registration of a
class of securities pursuant to class of securities pursuant to
Section 12(b) of the Exchange Act and is Section 12(g) of the Exchange Act and is
effective pursuant to General effective pursuant to General
Instruction A. (c), please check the Instruction A.(d), please check the
following box. [ ] following box [X]
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Securities Act registration statement file number to which this form
relates:
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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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None Not Applicable
Securities to be registered pursuant to Section 12(g) of the Act:
Preferred Share Purchase Rights
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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 Preferred Shares Purchase Rights to be registered
hereunder is contained in Item 5 of the Registrant's Form 8-K Current Report
filed with the Securities and Exchange Commission on April 29, 1999, and is
incorporated herein by reference.
ITEM 2. EXHIBITS.
EXHIBIT
NUMBER DESCRIPTION
1.1* Specimen Right Certificate.
2.1* Rights Agreement, dated as of April 29, 1999 between
the Registrant and Norwest Bank Minnesota, N.A.
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* Filed as an exhibit to the Registrant's Form 8-K Current Report on April 29,
1999 and incorporated herein reference.
2.
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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, thereunto duly authorized.
AMERICAN COIN MERCHANDISING, INC.
Date: April 29, 1999 By: /s/ W. JOHN CASH
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W. John Cash
Senior Vice President, Chief Financial
Officer and Treasurer
3.
