8-A12G 1 f8a12g_111203-0207.txt FORM 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 SYNERGY FINANCIAL GROUP, INC. -------------------------------------------------------------------------------- (Exact Name of Registrant as Specified in Its Charter) New Jersey Applied For ---------- ----------- (State of Incorporation (IRS Employer or Organization) Identification No.) 310 North Avenue East, Cranford, New Jersey 07016 ------------------------------------------- ----- (Address of Principal Executive Offices) (Zip Code)
If this form relates to the registration of a class of If this form relates to the registration of a class of securities pursuant to Section 12(b) of the Exchange Act securities pursuant to Section 12(g) of the Exchange Act and is effective pursuant to General Instruction A.(c), and is effective pursuant to General Instruction A.(d), please check the following box.|_| please check the following box.|X| Securities Act registration statement file number to which this form relates: 333-108884
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 $0.10 per share --------------------------------------- (Title of class) INFORMATION REQUIRED IN REGISTRATION STATEMENT ---------------------------------------------- Item 1. Description of Registrant's Securities to be Registered The information set forth under the captions "Description of Capital Stock" and "Restrictions on Acquisition of Synergy Financial Group, Inc." in the Prospectus included in Part I of the Registration Statement on Form S-1 of the registrant, originally filed with the Securities and Exchange Commission on September 17, 2003 (File No. 333-108884), is incorporated by reference in response to this Item 1. Information set forth under the captions "Description of Capital Stock" and "Restrictions on Acquisition of Synergy Financial Group, Inc." contained in a prospectus relating to SEC File No. 333-108884 and to be subsequently filed by the registrant pursuant to 17 C.F.R. ss.230.424(b) shall be deemed to be incorporated by reference into this registration statement when filed. Item 2. Exhibits 3(i) Certificate of Incorporation of Synergy Financial Group, Inc. 3(ii) Bylaws of Synergy Financial Group, Inc. SIGNATURE Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized. SYNERGY FINANCIAL GROUP, INC. Date: November 12, 2003 By: /s/John S. Fiore ---------------- John S. Fiore President