-----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, RJqdPZZ2SqvGYmE5GWK2vJQouEz5aT6RUCm9Ut4nrBaR7ds+Td9n7Ai1wmrODm8o PmXO+NtG24y3mpF8lekNKQ== 0001036050-97-000261.txt : 19970515 0001036050-97-000261.hdr.sgml : 19970515 ACCESSION NUMBER: 0001036050-97-000261 CONFORMED SUBMISSION TYPE: 8-A12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970514 SROS: NYSE FILER: COMPANY DATA: COMPANY CONFORMED NAME: CONVERSE INC CENTRAL INDEX KEY: 0000716934 STANDARD INDUSTRIAL CLASSIFICATION: RUBBER & PLASTICS FOOTWEAR [3021] IRS NUMBER: 041419731 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-13430 FILM NUMBER: 97605824 BUSINESS ADDRESS: STREET 1: ONE FORDHAM RD CITY: NORTH READING STATE: MA ZIP: 01864 BUSINESS PHONE: 5086641100 MAIL ADDRESS: STREET 1: ONE FORDHAM ROAD CITY: NORTH READING STATE: MA ZIP: 01864 8-A12B 1 FORM 8-A12B 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 CONVERSE INC. (Exact name of registrant as specified in its charter) Delaware 43-1419731 (State of incorporation or organization) (I.R.S. Employer Identification No.) One Fordham Road North Reading, MA 01864 (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. [_] 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 _____% Convertible Subordinated New York Stock Exchange Notes due 2004 Securities to be registered pursuant to Section 12(g) of the Act: None Item 1. Description of Registrant's Securities to be Registered ------------------------------------------------------- The material set forth in the section captioned "Description of Notes" in the Registrant's Prospectus to be filed pursuant to Rule 424(b) under the Securities Act of 1933, as amended, which Prospectus will form a part of the Registrant's Registration Statement on Form S-3 (Registration No. 333-23791), initially filed with the Securities and Exchange Commission on March 24, 1997, and amended by Amendment No. 1, filed with the Securities and Exchange Commission on May 5, 1997, is incorporated herein by reference. Item 2. Exhibits -------- The following exhibits to this Registration Statement on Form 8-A are incorporated by reference to the documents specified which have been or will be filed with the Commission: 3.1 Restated Certificate of Incorporation of the Registrant/1/ 3.2 By-laws of the Registrant./1/ 4.1 Indenture between the Registrant and First Union National Bank, as trustee, relating to the Convertible Subordinated Notes due 2004./2/ 4.2 Form of Convertible Subordinated Note due 2004./2/ - ------------------------- /1/ Incorporated by reference to the Exhibit of the same number contained in the Registrant's Registration Statement on Form 10/A Amendment No. 2, filed with the Securities and Exchange Commission on November 23, 1994. /2/ Incorporated by reference to the Exhibit of the same number contained in the Registrant's Registration Statement on Form S-3 (No. 333-23791) and amended on May 5, 1997. 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. CONVERSE INC. By: /s/ Jack A. Green -------------------------------------- Jack A. Green Senior Vice President and General Counsel Date: May 14, 1997 -----END PRIVACY-ENHANCED MESSAGE-----