8-A12B 1 d8a12b.htm FORM 8-A Form 8-A

 

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

 


 

NEPHROS, INC.

(Exact name of registrant as specified in its charter)

 

Delaware   13-3971809
(State of incorporation or organization)   (I.R.S. Employer Identification No.)

 

3960 Broadway, New York, New York   10032
(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. x

 

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. ¨

 


 

Securities Act registration file number to which this form relates: 333-116162

 

Securities to be registered pursuant to Section 12(b) of the Act:

 

Common Stock, $0.001 par value per share.

(Title of Class)

 

Securities to be registered pursuant to Section 12(g) of the Act: None.

 



INFORMATION REQUIRED IN REGISTRATION STATEMENT

 

Item 1. Description of Registrant’s Securities to be Registered.

 

The information required by Item 202 of Regulation S-K is contained in the Amendment No. 2 to the Registration Statement on Form S-1 (File No. 333-116162) (the “Registration Statement”) of Nephros, Inc. (the “Company”), filed with the Securities and Exchange Commission on August 26, 2004, under the caption “Description of Securities” which is incorporated herein by reference.

 

Item 2. Exhibits.

 

Exhibit
Number


   

Description


3.1 **   Amended and Restated Certificate of Incorporation of the Registrant.
3.2 **   Amended and Restated By-laws of the Registrant.
4.1 *   Specimen of Common Stock Certificate of the Registrant.
4.2 **   Form of Underwriter’s Warrant.
4.3 *   Form of Convertible Promissory Note due August 7, 2002.
4.4 *   Form of Senior Convertible Bridge Notes due 2004.
4.5 *   Class C Warrant for the Purchase of Shares of Common Stock, dated September 22, 2003, issued to Joseph Giamanco by the Registrant.
4.6 *   Class C Warrant for the Purchase of Shares of Common Stock, dated September 22, 2003, issued to George Hatsopoulous by the Registrant.
4.7 *   Stock Purchase Warrant, dated June 19, 2002, issued to Plexus Services Corp. by the Registrant.
4.8 *   Class A Warrant for the Purchase of Shares of Common Stock, dated August 5, 2002, issued to Lancer Offshore, Inc.

* Incorporated herein by reference to the identically numbered exhibit to the Registrant’s Amendment No. 1 to Registration Statement on Form S-1, filed on July 20, 2004.

 

** Incorporated herein by reference to the identically numbered exhibit to the Registrant’s Amendment No. 2 to Registration Statement on Form S-1, filed on August 26, 2004.


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.

 

        NEPHROS, INC.
Date: August 27, 2004       By:  

/s/ Norman J. Barta

               

Name: Norman J. Barta

Title: Chief Executive Officer


EXHIBIT INDEX

 

Exhibit
Number


   

Description


3.1 **   Amended and Restated Certificate of Incorporation of the Registrant.
3.2 **   Amended and Restated By-laws of the Registrant.
4.1 *   Specimen of Common Stock Certificate of the Registrant.
4.2 **   Form of Underwriter’s Warrant.
4.3 *   Form of Convertible Promissory Note due August 7, 2002.
4.4 *   Form of Senior Convertible Bridge Notes due 2004.
4.5 *   Class C Warrant for the Purchase of Shares of Common Stock, dated September 22, 2003, issued to Joseph Giamanco by the Registrant.
4.6 *   Class C Warrant for the Purchase of Shares of Common Stock, dated September 22, 2003, issued to George Hatsopoulous by the Registrant.
4.7 *   Stock Purchase Warrant, dated June 19, 2002, issued to Plexus Services Corp. by the Registrant.
4.8 *   Class A Warrant for the Purchase of Shares of Common Stock, dated August 5, 2002, issued to Lancer Offshore, Inc.

* Incorporated herein by reference to the identically numbered exhibit to the Registrant’s Amendment No. 1 to Registration Statement on Form S-1, filed on July 20, 2004.

 

** Incorporated herein by reference to the identically numbered exhibit to the Registrant’s Amendment No. 2 to Registration Statement on Form S-1, filed on August 26, 2004.