-----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, LH5vUGKoTTH5YkZAL55M4MIZ/LnPKxCL/OMILtYMh3LwTmQRU+LEeTkzIy7XaXXC 0ca+j7ezOwxmbH0ClRe6yw== 0000950144-00-005617.txt : 20000501 0000950144-00-005617.hdr.sgml : 20000501 ACCESSION NUMBER: 0000950144-00-005617 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000428 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CORNERSTONE BANCSHARES INC CENTRAL INDEX KEY: 0001038773 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 621175427 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: SEC FILE NUMBER: 000-30497 FILM NUMBER: 612896 BUSINESS ADDRESS: STREET 1: 4154 RINGGOLD RD CITY: CHATTANOOGA STATE: TN ZIP: 37412-416 BUSINESS PHONE: 4236982454 MAIL ADDRESS: STREET 1: 4154 RINGGOLD RD CITY: CHATTANOOGA STATE: TN ZIP: 37412-0416 FORMER COMPANY: FORMER CONFORMED NAME: EAST RIDGE BANCSHARES INC DATE OF NAME CHANGE: 19970507 8-A12G 1 CORNERSTONE BANCSHARES, INC 1 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 (G) OF THE SECURITIES EXCHANGE ACT OF 1934 CORNERSTONE BANCSHARES, INC. (Exact name of registrant as specified in its charter) TENNESSEE 62-1175427 (State of Incorporation or organization) (I.R.S. Employer Identification No.) 4154 RINGGOLD ROAD, CHATTANOOGA, TENNESSEE 37412 (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), 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), check the following box. [X] Securities Act registration statement file number to which this form relates: N/A (If applicable) 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 $1.00 PER SHARE 2 Item 1. Description of Registrant's Securities to be Registered A description of the common stock, par value $1.00 per share ("Common Stock"), of the Registrant is set forth under the caption "Description of Capital Stock" in the Registration Statement on Form S-1(File Number 333-96185), as filed with the Securities Exchange Commission on February 4, 2000, which description is incorporated by reference. Item 2. Exhibits 1.1 Charter of the Registrant, included as Exhibit 3.1 to the Registrant's S-1, File Number 333-96185, as filed with the Securities and Exchange Commission on February 4, 2000, is hereby incorporated by reference. 1.2 By-laws of the Registrant, included as Exhibit 3.2 to the Registrant's S-1, File Number 333-96185, as filed with the Securities and Exchange Commission on February 4, 2000, is hereby incorporated by reference. 1.3 Form of Subscription Agreement, included as Exhibit 99.1 to the Registrant's S-1, File Number 333-96185, as filed with the Securities and Exchange Commission on February 4, 2000, is hereby incorporated by reference. SIGNATURE Pursuant to the requirements of Section 12 of the Securities Act of 1934, the Registrant has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereto duly authorized. Date: April 28, 2000 /s/ Gregory B. Jones -------------------------------------- Gregory B. Jones President and Chief Executive Officer -2- -----END PRIVACY-ENHANCED MESSAGE-----