-----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, J0m4D381m2wcHDHvjxBJMEbLouxFlSRKShaDaGspxtlwr7RWzV/gmqlT/P9Dis5K 1JkGQO9Cc5X0dUXxG/8PjA== 0000912057-97-013329.txt : 19970418 0000912057-97-013329.hdr.sgml : 19970418 ACCESSION NUMBER: 0000912057-97-013329 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970417 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: TALBERT MEDICAL MANAGEMENT HOLDINGS CORP CENTRAL INDEX KEY: 0001027131 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 8-A12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-22393 FILM NUMBER: 97582451 BUSINESS ADDRESS: STREET 1: 3540 HOWARD WAY CITY: COSTA MESA STATE: CA ZIP: 92626-1417 BUSINESS PHONE: 7144364800 8-A12G 1 8-A12G AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON APRIL 17, 1997 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 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 TALBERT MEDICAL MANAGEMENT HOLDINGS CORPORATION (Exact Name of Registrant as Specified in Its Charter) DELAWARE 33-0730363 (State of Incorporation or Organization) (I.R.S. Employer Identification no.) 3540 Howard Way, Costa Mesa, California 92626-1417 (Address) (Zip Code) If this form relates to the registration of a class of If this form relates to the registration of a class of debt securities and is effective upon filing pursuant debt securities and is to become effective simultaneously to General Instruction A(c)(1) please check the with the effectiveness of a concurrent registration following box. / / 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: NONE Securities to be registered pursuant to Section 12(g) of the Act: Common Stock, par value $.01 per share (the "Common Stock")* Rights to Purchase Common Stock (the "Rights") * Includes rights with respect to such Common Stock pursuant to the Stockholder Rights Agreement between the Company and American Stock Transfer & Trust Company. Item 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED. The Common Stock (and the rights attached thereto) is described under "DESCRIPTION OF CAPITAL STOCK" and the Rights are described under "THE OFFERING" in the registrant's Registration Statement on Form S-1 (File No. 333-17679), as amended (the "Registration Statement"), which Registration Statement is incorporated herein by reference. Item 2. EXHIBITS. 1. Specimen form of Common Stock Certificate of the Registration. (1) 2. Specimen form of Subscription Certificate of the Registration. (2) 3. Certificate of Incorporation of the Registrant. (3) 4. Form of Rights Agreement between the Registrant and American Stock Transfer & Trust Company. (4) - ------------------------ (1) Incorporated by reference to Exhibit No. 4.4 to the Registration Statement. (2) Incorporated by reference to Exhibit No. 4.3 to the Registration Statement. (3) Incorporated by reference to Exhibit No. 3.1 to the Registration Statement. (4) Incorporated by reference to Exhibit No. 4.1 to the Registration Statement. 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, thereunto duly authorized. TALBERT MEDICAL MANAGEMENT HOLDINGS CORPORATION By: /s/ Jack D. Massimino ---------------------------------------- Title: President and Chief Executive Officer ------------------------------------- Dated: April 17, 1997 ----------- S-1 -----END PRIVACY-ENHANCED MESSAGE-----