8-A12B 1 y13516e8va12b.htm FORM 8-A 8-A12B
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UNITED STATES
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
BROOKDALE SENIOR LIVING INC.
(Exact name of registrant as specified in its charter)
     
Delaware   20-3068069
 
(State of incorporation or
organization)
  (I.R.S. Employer or
Identification No.)
     
330 North Wabash    
Suite 1400    
Chicago, Illinois   60611
 
(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
Common Stock, par value $0.01 per share   New York Stock Exchange
If this Form 8-A relates to the registration of a class of securities pursuant to Section 12(b) of the Exchange Act and is effective upon filing pursuant to General Instruction A.(c), please check the following box. þ
If this Form 8-A relates to the registration of a class of securities pursuant to Section 12(g) of the Exchange Act and is to become effective General Instruction A.(d), please check the following box. o
Securities Act registration statement file number to which this form relates: 333-127372
Securities to be registered pursuant to Section 12(g) of the Act: None.
 
 

 


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Item 1. Description of Registrant’s Securities to be Registered.
Item 2. Exhibits.
SIGNATURE


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INFORMATION REQUIRED IN REGISTRATION STATEMENT
Item 1. Description of Registrant’s Securities to be Registered.
For a description of the securities to be registered hereunder, reference is made to the information set forth under the heading “Description of Capital Stock” in the Registrant’s Prospectus, which constitutes a part of the Registrant’s Registration Statement on Form S-1, as amended (File No. 333-127372) (the “Registration Statement”), filed under the Securities Act of 1933, as amended, which information is hereby incorporated herein by reference.
Item 2. Exhibits.
Not applicable.

 


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 3
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.
         
  BROOKDALE SENIOR LIVING INC.
(Registrant)

 
 
 
  By:   /s/  Mark J. Schulte  
Dated:  October 11, 2005    Name:   Mark J. Schulte   
    Title:   Chief Executive Officer