-----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, Uel61OsEbujRKSHK7YHAXKLooSRyY5VgA7qL/KyMpCj4kCY13WFBoR3+AMehzKfF YEFIiPF8crjjsjRrY23XPQ== 0000950170-97-001183.txt : 19971001 0000950170-97-001183.hdr.sgml : 19971001 ACCESSION NUMBER: 0000950170-97-001183 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970930 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: OUTSOURCE INTERNATIONAL INC CENTRAL INDEX KEY: 0001013316 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 650675628 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: SEC FILE NUMBER: 000-23147 FILM NUMBER: 97688320 BUSINESS ADDRESS: STREET 1: 1144 E NEWPORT CENTER CITY: DEERFIELD BEACH STATE: FL ZIP: 33442 BUSINESS PHONE: 9544186200 MAIL ADDRESS: STREET 1: 1144 E NEWPORT CENTER CITY: DEERFIELD BEACH STATE: FL ZIP: 33442 8-A12G 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 ---------- FORM 8-A FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECITON 12(b) OR 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OUTSOURCE INTERNATIONAL, INC. - -------------------------------------------------------------------------------- (Exact Name of Registrant as Specified in Its Charter) FLORIDA 65-0675628 - -------------------------------------------------------- ---------------------- (State of Incorporation or Organization) (I.R.S. Employer Identification no.) 1144 EAST NEWPORT CENTER DRIVE, DEERFIELD BEACH, FLORIDA 33442 - -------------------------------------------------------- ---------------------- (Address of Principal Executive Offices) (Zip Code) If this form relates to the registration of a If this form relates to the registration of a class of securities pursuant to Section 12(b) class of securities pursuant to Section 12(g) of the Exchange Act and is effective of the Exchange Act and is effective pursuant to General Instruction A.(c), pursuant to General Instruction A.(d), please check the following box. [ ] please check the following box. [X]
Securities Act registration statement file number to which this form relates: 333-33443 --------------- (If applicable) 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 None Securities to be registered pursuant to Section 12(g) of the Act: COMMON STOCK, PAR VALUE $.001 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 $.001 per share, appearing under the caption "Description of Securities" in the Prospectus included as a part of Amendment No. 1 to the Registrant's Registration Statement on Form S-1, File No. 333-33443, filed with the Securities and Exchange Commission on September 23, 1997 (the "Amendment No. 1 to the Form S-1 Registration Statement") is incorporated herein by reference. ITEM 2. EXHIBITS The following exhibits are filed herewith: 1. Certain provisions of the Amended and Restated Articles of Incorporation of the Company (incorporated herein by reference to Exhibit 3.1 and Exhibit 4.1 to the Registrant's Registration Statement on Form S-1, File No. 333-34333, filed with the Securities and Exchange Commission on August 12, 1997 (the "Form S-1 Registration Statement") and the Bylaws of the Company (incorporated herein by reference to Exhibit 3.2 and Exhibit 4.1 to the Form S-1 Registration Statement) defining the rights of holders of the Common Stock of the Company 2. Form of Amended and Restated Articles of Incorporation of the Company, as amended (incorporated herein by reference to Exhibit 3.3 to the Amendment No. 1 to the Form S-1 Registration Statement) 3. Form of Amended and Restated Bylaws of the Company (incorporated herein by reference to Exhibit 3.4 to the Amendment No. 1 to the Form S-1 Registration Statement) 4. Form of Common Stock Certificate of the Company (incorporated herein by reference to Exhibit 4.2 to the Amendment No. 1 to the Form S-1 Registration Statement) 5. Form of Shareholder Protection Rights Agreement (incorporated (incorporated herein by reference to Exhibit 4.3 to the Amendment No. 1 to the Form S-1 Registration Statement) 6. Warrant dated February 21, 1997 issued to Triumph-Connecticut Limited Partnership (incorporated herein by reference to Exhibit 4.6 to the Form S-1 Registration Statement) 7. Warrant dated February 21, 1997 issued to Bachow Investment Partners III, L.P. (incorporated herein by reference to Exhibit 4.7 to the Form S-1 Registration Statement) 8. Warrant dated February 21, 1997 issued to State Street Bank and Trust Company of Connecticut, N.A., as Escrow Agent (incorporated herein by reference to Exhibit 4.8 to the Form S-1 Registration Statement) 9. Certain preemptive rights provisions of the Agreement among Shareholders and Investors in OutSource International, Inc. dated as of February 21, 1997 (incorporated herein by reference to Exhibit 4.9 and Exhibit 10.4 to the Form S-1 Registration Statement) 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. OUTSOURCE INTERNATIONAL, INC. Date: September 30, 1997 By: /s/ PAUL M. BURRELL ----------------------------------------- Paul M. Burrell, President, Chief Executive Officer and Chairman of the Board of Directors -----END PRIVACY-ENHANCED MESSAGE-----