-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, M2KSxMw3FcZHUMW1CwcejawDaxfAu/Gall0HLIkgzGuAZLLJUmI+AHdtpzaI4MNg Dj8GCvRqI2r8Oe235BigMQ== 0000950170-98-002033.txt : 19981029 0000950170-98-002033.hdr.sgml : 19981029 ACCESSION NUMBER: 0000950170-98-002033 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19981028 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: 21ST CENTURY HOLDING CO CENTRAL INDEX KEY: 0001069996 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 650248866 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: SEC FILE NUMBER: 000-25001 FILM NUMBER: 98732289 BUSINESS ADDRESS: STREET 1: 4161 N W 5TH STREET CITY: PLANTATION STATE: FL ZIP: 33317 BUSINESS PHONE: 9545819993 MAIL ADDRESS: STREET 1: 4161 N W 5TH STREET CITY: PLANTATION STATE: FL ZIP: 33317 8-A12G 1 FORM 8-A SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(B) OR (G) OF THE SECURITIES EXCHANGE ACT OF 1934 21ST CENTURY HOLDING COMPANY (Exact name of registrant as specified in its charter) FLORIDA 65-248866 (State of incorporation (I.R.S. Employer or organization) (Indemnification No.) 4161 N.W. 5th Street Plantation, Florida 33317 (Address of principal executive offices) (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 ------------------- ------------------------------ NONE 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), 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), check the following box. [ X ] Securities Act registration statement file number to which this form relates: 333-63623. Securities to be registered pursuant to Section 12(g) of the Act: Common Stock, $.01 par value Item 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED. Reference is made to the description of the Registrant's Common Stock in the sections entitled "Dividend Policy" and "Description of Capital Stock" contained in the Registrant's Registration Statement on Form SB-2 (Registration No. 333-63623) filed with the Securities and Exchange Commission on September 17, 1998, as subsequently amended on October 7, 1998 and October 27, 1998. Item 2. EXHIBITS DESCRIPTION -------- ----------- 3.1 Amended and Restated Articles of Incorporation(1) 3.2 Amended and Restated Bylaws(1) 4.1 Specimen Certificate of Common Stock(2) - ----------------------- (1) Incorporated by reference to the Exhibits of the same number included with the Registrant's Registration Statement on Form SB-2 (Registration No. 333-63623) filed with the Securities and Exchange Commission on September 17, 1998. (2) Incorporated by reference to the Exhibit of the same number included with the Registrant's Amendment No. 2 to the Registration Statement on Form SB-2 (Registration No. 333-63623) filed with the Securities and Exchange Commission on October 27, 1998. SIGNATURES 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. Dated: October 28, 1998 21ST CENTURY HOLDING COMPANY By:/S/ EDWARD J. LAWSON ------------------------------------------ Edward J. Lawson, Chief Executive Officer -----END PRIVACY-ENHANCED MESSAGE-----