-----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, FnO3mJohB11aTr3RF3up4xC2i9hm2AQxen7w9jSgxo9dBwcUWoydZ6DfzApIh2el vZpVChRJkmj9I7ktps5x1g== 0000950116-98-002335.txt : 19981201 0000950116-98-002335.hdr.sgml : 19981201 ACCESSION NUMBER: 0000950116-98-002335 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 19981130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROLLING PIN KITCHEN EMPORIUM INC CENTRAL INDEX KEY: 0000930114 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-RETAIL STORES, NEC [5990] IRS NUMBER: 311421571 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: SEC FILE NUMBER: 000-25125 FILM NUMBER: 98761671 BUSINESS ADDRESS: STREET 1: 4264 WINTERS CHAPEL RD STREET 2: BLDG B CITY: ATLANTA STATE: GA ZIP: 30360 BUSINESS PHONE: 7704572600X11 MAIL ADDRESS: STREET 1: 4006 VENTURE COURT CITY: COLUMBUS STATE: OH ZIP: 43228 FORMER COMPANY: FORMER CONFORMED NAME: HOME RETAIL HOLDINGS INC DATE OF NAME CHANGE: 19980824 FORMER COMPANY: FORMER CONFORMED NAME: GAYLORD COMPANIES INC DATE OF NAME CHANGE: 19941019 8-A12G 1 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 Rolling Pin Kitchen Emporium, Inc. ------------------------------------------------------ (Exact Name of Registrant as Specified in Its Charter) Delaware 13-1421571 -------------------------------------- ------------------------------------ (State of Incorporation or Organization) (I.R.S. Employer Identification No.) 4264 Winters Chapel Road, Building B Atlanta, Georgia 30360 -------------------------------------- ---------- (Address of Principal Executive Offices) (Zip Code) 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), please 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), please check the following box. [ ] Securities Act registration statement file number to which this form relates: 333-63527 ----------- Securities to be registered pursuant to Section 12(b) of the Act: Title of Each Class Name of Each Exchange on Which Each Class to be so Registered is to be Registered - -------------------- ----------------------------------------- None None - -------------------- ----------------- Securities to be registered pursuant to Section 12(g) of the Act: Common Stock, par value $.01 per share - -------------------------------------------------------------------------------- (Title of Class) Item 1 Description of Registrant's Securities to be Registered. The description of the Registrant's Common Stock, par value $.01 per share (the "Common Stock"), is incorporated herein by reference to the Registration Statement on Form SB-2 as filed with the Securities and Exchange Commission on September 16, 1998, as amended. Item 2 Exhibits. a. Amended and Restated Certificate of Incorporation of the Registrant, is incorporated herein by reference to Exhibit 3.1 to the Registrant's Registration Statement on Form SB-2 under the Securities Act of 1933, as amended, as filed with the Securities and Exchange Commission on September 16, 1998. b. Amended and Restated Bylaws of the Registrant are incorporated herein by reference to Exhibit 3.2 to the Registrant's Registration Statement of Form SB-2 under the Securities Act of 1933, as amended, as filed with the Securities and Exchange Commission on September 16, 1998. c. Form of certificate for the Registrant's Common Stock. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] 2 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. ROLLING PIN KITCHEN EMPORIUM, INC. Date: November 30, 1998 By: /S/ JOHN D. CRITSER -------------------------------------- John D. Critser Chief Executive Officer and President 3 EXHIBIT INDEX EXHIBIT NUMBER DESCRIPTION - ---------- ------------------ *1 Description of the Registrant's Common Stock to be registered. 2 Form of Certificate for the Registrant's Common Stock. *3 Amended and Restated Certificate of Incorporation. *4 Amended and Restated Bylaws. - ------------- * Incorporated herein by reference to the Registrant's Registration Statement on Form SB-2 under the Securities Act of 1933, as amended, as filed with the Securities and Exchange Commission on September 16, 1998. 4 EX-2 2 EXHIBIT 2
- ---------- ---------- RPA - ---------- ---------- Rolling Pin Kitchen Emporium, Inc. CLASS A CLASS A COMMON STOCK INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE COMMON STOCK CUSIP 775704109 - ---------------------------------------------------------------------------------------------- This is to certify that is the owner of - ---------------------------------------------------------------------------------------------- FULLY PAID AND NON-ASSESSABLE SHARES OF THE CLASS A COMMON STOCK, $.01 PAR VALUE PER SHARE, OF ============================================================================================== CERTIFICATE OF STOCK Transferable on the books of the Company by the registered holder hereof in person or by duly authorized attorney upon surrender of this certificate properly endorsed. This certificate is not valid until counter signed and registered by the Transfer Agent and Registrar. Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers. Dated /s/ GERALD CZARNECKI ROLLING PIN KITCHEN EMPORIUM, INC. /s/ GREG DUKOFF ------------------- CORPORATE ------------------------ SEAL Secretary 1994 DELAWARE
The following abbreviations, when used in the inscription on the face of this certificate, shall be considered as though they were written out in full according to applicable laws or regulations.
TEN COM -- as tenants in common UNIP GIFT MIN ACT - ............Custodian.......... TEN ENT -- as tenants by the entireties (Cust) (Minor) JT TEN -- as joint tenants with right of under Uniform Gifts to Minors survivorship and not as tenants Act ........................... in common (State) Additional abbreviations may also be used though not in the above list. For Value Received________ hereby sell, assign and transfer unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE - -------------------------------------- | | | | - -------------------------------------- - ----------------------------------------------------------------------------------------------------- (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) - ----------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------- Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint - ----------------------------------------------------------------------------------------------Attorney to transfer the said shares on the books of the within-named Corporation with full power of substitution in the premises. Dated ------------------------------ ----------------------------------------------- NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER SIGNATURE(S) GUARANTEED: --------------------------------------------------------------- THE SIGNATURES SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM) PURSUANT TO SEC RULE 17AG-15.
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