-----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, FC3imPQOY8q6jgDdLhZv+ZYpqSHiUom5cMZ3ir+Gws8fUqAbI+fOulxxNMFBS780 TDag8tNbfW0Zk6ATPZdLZg== 0000950133-97-000313.txt : 19970211 0000950133-97-000313.hdr.sgml : 19970211 ACCESSION NUMBER: 0000950133-97-000313 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970207 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: COMPLETE WELLNESS CENTERS INC CENTRAL INDEX KEY: 0001022828 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 521910135 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-22115 FILM NUMBER: 97519915 BUSINESS ADDRESS: STREET 1: 725 INDEPENDENCE AVE SE CITY: WASHINGTON STATE: DC ZIP: 20003 BUSINESS PHONE: 2025436800 MAIL ADDRESS: STREET 1: 725 INDEPENDENCE AVE SE CITY: WA STATE: DC ZIP: 20003 8-A12G 1 COMPLETE WELLNESS CENTERS, INC. FORM 8-A 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 -------------------------- COMPLETE WELLNESS CENTERS, INC. (Exact name of registrant as specified in its charter) DELAWARE 52-1910135 (State of incorporation (I.R.S. Employer or organization) Identification Number) -------------------------- 725 INDEPENDENCE AVE., S.E., WASHINGTON, D.C. 20003 (Address of principal executive offices) (Zip code) -------------------------- Securities to be registered pursuant to Section 12(b) of the Act: None 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(g) of the Act: Common Stock, $.0001665 par value (Title of class) Redeemable Common Stock Purchase Warrants (Title of class) 2 ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED. The description of the securities of Registrant to be registered hereunder is set forth under the heading "Description of Securities" in Registrant's Registration Statement on Form SB-2, as amended (Registration No. 333-18921) (the "Registration Statement"), filed by Registrant with the Securities and Exchange Commission, which description is incorporated herein by reference. ITEM 2. EXHIBITS. 1. Registrant's Prospectus is contained within the Registration Statement and is incorporated herein by reference. 2. Certificate of Incorporation, as amended, of Registrant is set forth as Exhibit 3.1 to the Registration Statement and is incorporated herein by reference. 3. By-Laws of Registrant are set forth as Exhibit 3.2 to the Registration Statement and are incorporated herein by reference. 4. Specimen Common Stock Certificate of Registrant is set forth as Exhibit 4.1 to the Registration Statement and is incorporated herein by reference. 5. Specimen Warrant Certificate of Registrant is included in Form of Warrant Agreement between Registrant and American Stock Transfer & Trust Company as Warrant Agent, which is set forth as Exhibit 4.3 to the Registration Statement and is incorporated herein by reference. 2 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. COMPLETE WELLNESS CENTERS, INC. (Registrant) Date: February 7, 1997 By: /s/ E. Eugene Sharer --------------------------------------- E. Eugene Sharer President, Chief Operating Officer, Chief Financial Officer and Treasurer 3 -----END PRIVACY-ENHANCED MESSAGE-----