-----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, VTL1LdHYKfvyJuTcymNrOUwQJapwcejHgdQd1D4RoA03ZkfpPU1AtYdwJPjf1axh sfhQVenzW8Lz35k8266egQ== 0000950123-10-005369.txt : 20100127 0000950123-10-005369.hdr.sgml : 20100127 20100126175511 ACCESSION NUMBER: 0000950123-10-005369 CONFORMED SUBMISSION TYPE: 8-A12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20100127 DATE AS OF CHANGE: 20100126 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PATRIOT RISK MANAGEMENT, INC. CENTRAL INDEX KEY: 0001423593 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 731665495 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-34614 FILM NUMBER: 10548611 BUSINESS ADDRESS: STREET 1: 401 EAST LAS OLAS BOULEVARD, SUITE 1540 CITY: FORT LAUDERDALE STATE: FL ZIP: 33301 BUSINESS PHONE: (954) 670-2900 MAIL ADDRESS: STREET 1: 401 EAST LAS OLAS BOULEVARD, SUITE 1540 CITY: FORT LAUDERDALE STATE: FL ZIP: 33301 FORMER COMPANY: FORMER CONFORMED NAME: SUNCOAST HOLDINGS, INC DATE OF NAME CHANGE: 20080111 8-A12B 1 c55846e8va12b.htm FORM 8-A12B e8va12b
 
 
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
PATRIOT RISK MANAGEMENT, INC.
(Exact name of registrant as specified in its charter)
     
Delaware
(State of Incorporation or Organization) 		  73-1665495
(I.R.S. Employer Identification No.)
     
401 East Las Olas Boulevard, Suite 1540
Fort Lauderdale, Florida 		  33301
(Zip Code)
(Address of Principal Executive Offices)    
Securities to be registered pursuant to Section 12(b) of the Act:
     
Title of each class
to be so registered 		  Name of each exchange on which
each class is registered
     
Common Stock, par value $0.001 per share   New York Stock Exchange
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. þ
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. o
Securities Act registration statement file number to which this form relates: 333-150864
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.
     Patriot Risk Management, Inc. (the “Registrant”) hereby incorporates by reference into this registration statement the description of its common stock, par value $0.001 per share, to be registered hereunder that is contained under the section entitled “Description of Capital Stock” as set forth in the Registrant’s Registration Statement on Form S-1 (File No. 333-150864) as originally filed with the Securities and Exchange Commission on May 13, 2008, and as subsequently amended. Such description will be included in the prospectus to be filed by the Registrant pursuant to Rule 424(b) under the Securities Act of 1933, as amended, which prospectus shall be deemed to be incorporated by reference into this registration statement.
Item 2. Exhibits.
     In accordance with the “Instructions as to Exhibits” with respect to Form 8-A, no exhibits are required to be filed because no other securities of the Registrant are registered on the New York Stock Exchange and the securities registered hereby are not being registered pursuant to Section 12(g) of the Securities Exchange Act of 1934, as amended.

 

 

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.
Dated: January 25, 2010
         
  PATRIOT RISK MANAGEMENT, INC.

 		  
  By:   /s/ Theodore G. Bryant  
    Theodore G. Bryant   
    Senior Vice President, Counsel and Secretary   
 

 

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