8-A12B 1 autonomix_8a.htm FORM 8-A

 

 

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 12(g) OF THE

SECURITIES EXCHANGE ACT OF 1934

 

AUTONOMIX MEDICAL, INC.

(Exact name of registrant as specified in its charter)

 

Delaware   47-1607810
(State of incorporation or organization)   (I.R.S. Employer Identification No.)

 

21 Waterway Avenue, Suite 300, The Woodlands, TX   77380
(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, $0.001 par value per share  

The NASDAQ Stock Market LLC

 

 

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) or (e), check the following box. ý

 

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) or (e), check the following box. ¨

 

If this form relates to the registration of a class of securities concurrently with a Regulation A offering, check the following box. ý

 

Securities Act registration statement or Regulation A offering statement file number to which this form relates: 024-12296  (if applicable)

 

Securities to be registered pursuant to Section 12(g) of the Act: None

 


 

 

 

 

   

 

 

 

INFORMATION REQUIRED IN REGISTRATION STATEMENT

 

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

 

A description of the common stock to be registered hereunder is contained in the section entitled “Description of Capital Stock” in the Offering Circular included in Autonomix Medical, Inc. (the “Registrant”) Offering Statement on Form 1-A (File No. 024-12296) initially filed with the Securities and Exchange Commission on January 19, 2024, as amended from time to time (the “Offering Statement”). This information is incorporated herein by reference. Any form of Offering Circular or Post-Qualification Amendment to the Offering Statement that includes such descriptions and that are filed subsequently to the Offering Statement are hereby also incorporated by reference herein.

 

Item 2.      Exhibits.

 

Pursuant to the Instructions as to Exhibits with respect to Form 8-A, no exhibits are required to be filed because no other securities of the Registrant are registered on The Nasdaq Stock Market LLC, and the securities registered hereby are not being registered pursuant to Section 12(g) of the Securities Exchange Act of 1934, as amended.

 

SIGNATURES

 

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized.

 

Date: January 26, 2024

 

  Autonomix Medical, Inc.
     
  By: /s/ Lori Bisson
    Name: Lori Bisson
    Title: Chief Executive Officer

 

 

 

 

 

 

 

 

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