-----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, SMxOsXFqiq3vOOaV0mD1Pwn9uNHQVoX3UpZX5creVkbAPBKKMaTS+VXV3fIRNQ8a HHdZXwOWaIexP2G/Pnfsfw== 0000950131-96-004091.txt : 19960928 0000950131-96-004091.hdr.sgml : 19960928 ACCESSION NUMBER: 0000950131-96-004091 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960821 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: MEDI JECT CORP /MN/ CENTRAL INDEX KEY: 0001016169 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411350192 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-20945 FILM NUMBER: 96618738 BUSINESS ADDRESS: STREET 1: 1840 BERKSHIRE LANE CITY: PLYMOUTH STATE: MN ZIP: 55431 BUSINESS PHONE: 6125531102 MAIL ADDRESS: STREET 1: 1840 BERKSHIRE LANE CITY: PLYMOUTH STATE: MN ZIP: 55431 8-A12G 1 FORM 8-A ================================================================================ 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 MEDI-JECT CORPORATION (Exact name of registrant as specified in its charter) MINNESOTA 41-1350192 (State of incorporation (I.R.S. Employer or organization) Identification No.) 1840 BERKSHIRE LANE MINNEAPOLIS, MINNESOTA 55441 (Address of principal executive offices) (Zip Code) If this Form relates to the registration of a class of debt securities and is effective upon filing pursuant to General Instruction A.(c)(1), please check the following box. [_] If this Form relates to the registration of a class of debt securities and is to become effective simultaneously with the 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: Not Applicable Securities to be registered pursuant to Section 12(g) of the Act: COMMON STOCK, $.01 PAR VALUE (Title of class) ================================================================================ This Registration Statement Consists of 4 Pages Exhibit Index on Page 4 ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED. The description of the common stock, $.01 par value (the "Common Stock"), of Medi-Ject Corporation (the "Company") to be registered hereunder is contained under the caption "Description of Capital Stock" in the Prospectus constituting a part of the Registration Statement on Form S-1 (File No. 333-6661) filed by the Company with the Securities and Exchange Commission on June 24, 1996 (the "Registration Statement"), including any amendments thereto, which description is incorporated herein by reference. ITEM 2. EXHIBITS. 1. Amended and Restated Articles of Incorporation of the Company, (incorporated by reference to Exhibit 3.1 to the Company's Registration Statement). 2. Amended Bylaws of the Company (incorporated by reference to Exhibit 3.2 to the Company's Registration Statement). 3. Second Amended and Restated Articles of Incorporation of the Company (as proposed to be effective upon completion of the Company's initial public offering)(incorporated by reference to Exhibit 3.3 to the Company's Registration Statement). 4. Second Amended and Restated Bylaws of the Company (as proposed to be effective upon completion of the Company's initial public offering)(incorporated by reference to Exhibit 3.4 to the Company's Registration Statement). 5. Form of Certificate for Common Stock (incorporated by reference to Exhibit 4.1 to the Company's Registration Statement). -2- SIGNATURE Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the Company has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized. Date: August 21, 1996 MEDI-JECT CORPORATION By /s/ Mark S. Derus ------------------------------ Mark S. Derus Chief Financial Officer and Secretary -3- MEDI-JECT CORPORATION FORM 8-A EXHIBIT INDEX EXHIBIT NUMBER EXHIBITS - ------- -------- 1. Amended and Restated Articles of Incorporation of Company, as amended (incorporated by reference to Exhibit 3.1 to the Company's Registration Statement). 2. Amended Bylaws of the Company (incorporated by reference to Exhibit 3.2 to the Company's Registration Statement). 3. Second Amended and Restated Articles of Incorporation of the Company (as proposed to be effective upon completion of the Company's initial public offering)(incorporated by reference to Exhibit 3.3 to the Company's Registration Statement). 4. Second Amended and Restated Bylaws of the Company (as proposed to be effective upon completion of the Company's initial public offering)(incorporated by reference to Exhibit 3.4 to the Company's Registration Statement). 5. Form of Certificate for Common Stock (incorporated by reference to Exhibit 4.1 to the Company's Registration Statement). -4- -----END PRIVACY-ENHANCED MESSAGE-----