0001135432-01-500210.txt : 20011010 0001135432-01-500210.hdr.sgml : 20011010 ACCESSION NUMBER: 0001135432-01-500210 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20011005 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SINGLE SOURCE FINANCIAL SERVICES CORP CENTRAL INDEX KEY: 0001128581 STANDARD INDUSTRIAL CLASSIFICATION: PERSONAL CREDIT INSTITUTIONS [6141] FILING VALUES: FORM TYPE: 8-A12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-33229 FILM NUMBER: 1752768 BUSINESS ADDRESS: STREET 1: 10780 SANTA MONICA BLVD STREET 2: SUITE 240 CITY: LOS ANGELES STATE: CA ZIP: 90025 MAIL ADDRESS: STREET 1: 10780 SANTA MONICA BLVD STREET 2: SUITE 240 CITY: LOS ANGELES STATE: CA ZIP: 90025 8-A12G 1 doc1.txt 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 Single Source Financial Services Corporation ------------------------------------------------------------------------------ (Exact name of registrant as specified in its charter) New York 16-1576984 ------------------------------------------------------------------------------ (State of incorporation) (I.R.S. Employer or organization Identification No.) 10780 Santa Monica Boulevard Suite 240 Los Angeles, California 90025 ------------------------------------------------------------------------------ (Address of principal executive offices) (Zip Code) 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. [_] 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: 333-50512 (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 N/A -------------------------- ------------------------------------ -------------------------- ------------------------------------ -------------------------- ------------------------------------ Securities to be registered pursuant to Section 12(g) of the Act: Common Stock, par value $0.001 ------------------------------------------------------------------------------ (Title of class) ------------------------------------------------------------------------------ (Title of Class) 1 INFORMATION REQUIRED IN REGISTRATION STATEMENT ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED. This registration statement relates to the registration with the Securities and Exchange Commission of shares of Common Stock, par value $0.001 (the "Common Stock"), of Single Source Financial Services Corporation, a New York corporation (the "Registrant"). The description of the Common Stock to be registered hereunder set forth under the caption "Description of Securities" in the Registrant's Registration Statement on Form SB-2, Registration No. 333-50512 (the "Registration Statement"), filed with the Securities and Exchange Commission, as amended, is incorporated herein by this reference. ITEM 2. EXHIBITS. The following documents are included as Exhibits to Registrant's Registration Statement on Form SB-2 (Registration No. 333-50512) and incorporated herein by this reference. Exhibit Description No. 3.1 Articles of Incorporation 3.2 Certificate of Amendment of the Certificate of Incorporation 3.3 Bylaws 10.1 Stock Purchase Agreement 11.1 Computation of Per Share Earnings 16 Letter on Change in Certifying Accountant (included as Exhibit 16) 21.1 List of the Registrant's Subsidiaries 23.1 Consent of Independent Certified Public Accountants 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. Single Source Financial Services Corporation (Registrant) Dated: October 4, 2000 /s/ Arnold F. Sock __________________________ Arnold F. Sock, President 3