-----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, UaabX6804/ArtBpNSkzfq5EA2Bh6VEmosMIwtJryzA3DaZ28QyIciPoHiUr7X6kE yN/Gq42/b1QGpMf6si6eVg== 0000950144-99-000356.txt : 19990120 0000950144-99-000356.hdr.sgml : 19990120 ACCESSION NUMBER: 0000950144-99-000356 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: INSURANCE MANAGEMENT SOLUTIONS GROUP INC CENTRAL INDEX KEY: 0001063167 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 593422536 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: SEC FILE NUMBER: 000-25273 FILM NUMBER: 99507850 BUSINESS ADDRESS: STREET 1: 360 CENTRAL AVENUE CITY: ST PETERSBURG STATE: FL ZIP: 33701 BUSINESS PHONE: 8138234000 MAIL ADDRESS: STREET 1: 360 CENTRAL AVENUE CITY: ST PETERSBURG STATE: FL ZIP: 33701 8-A12G 1 INSURANCE MANAGEMENT SOLUTIONS GROUP, INC. 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 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 INSURANCE MANAGEMENT SOLUTIONS GROUP, INC. (Exact name of registrant as specified in its charter) Florida 59-3422536 (State of incorporation or organization) (I.R.S. Employer Identification No.) 360 Central Avenue St. Petersburg, Florida 33701 (Address of principal executive offices) 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: 333-57747 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, $.01 par value 2 Item 1. Description of Registrant's Securities to be Registered The Registrant hereby incorporates by reference herein the description of the Registrant's Common Stock, $.01 par value per share, appearing under the caption "Description of Capital Stock" in the Prospectus contained in the Registrant's Registration Statement on Form S-1, as filed with the Securities and Exchange Commission on June 25, 1998 under Commission File No. 333-57747 (as amended from time to time, the "Registration Statement"), and as such section may be amended at the time the Registration Statement is declared effective. The form of the Registrant's Amended and Restated Articles of Incorporation and Amended and Restated Bylaws are filed as Exhibits 3.1 and 3.2, respectively, to the Registration Statement. Item 2. Exhibits The following exhibits are filed as part of this registration statement: 2(a) Amendment No. 2 to the Registration Statement, as filed with the Securities and Exchange Commission on December 21, 1998 (Reg. No. 333-57747) (incorporated by reference). 2(b) Amended and Restated Articles of Incorporation.(1) 2(c) Amended and Restated Bylaws.(2) 2(d) Copy of form of stock certificate for the Registrant's Common Stock.(3) - -------- (1) Incorporated herein by reference to Exhibit 3.1 to the Registrant's Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the Securities and Exchange Commission on June 25, 1998. (2) Incorporated herein by reference to Exhibit 3.2 to the Registrant's Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the Securities and Exchange Commission on June 25, 1998. (3) Incorporated by reference to Exhibit 4.1 to Amendment No. 2 to the Registrant's Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the Securities and Exchange Commission on December 21, 1998. 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, thereunto duly authorized. INSURANCE MANAGEMENT SOLUTIONS GROUP, INC. (Registrant) By: /s/ Kelly K. King --------------------------------------- Kelly K. King Vice President, Secretary, Treasurer and Chief Financial Officer Dated: January 15, 1999 3 4 EXHIBIT INDEX 2(a) Amendment No. 2 to the Registration Statement, as filed with the Securities and Exchange Commission on December 21, 1998 (Reg. No. 333-57747) (incorporated by reference). 2(b) Amended and Restated Articles of Incorporation.(1) 2(c) Amended and Restated Bylaws.(2) 2(d) Copy of form of stock certificate for the Registrant's Common Stock.(3) - --------- (1) Incorporated herein by reference to Exhibit 3.1 to the Registrant's Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the Securities and Exchange Commission on June 25, 1998. (2) Incorporated herein by reference to Exhibit 3.2 to the Registrant's Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the Securities and Exchange Commission on June 25, 1998. (3) Incorporated by reference to Exhibit 4.1 to Amendment No. 2 to the Registrant's Registration Statement on Form S-1 (Reg. No. 333-57747) filed with the Securities and Exchange Commission on December 21, 1998. 4 -----END PRIVACY-ENHANCED MESSAGE-----