-----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, C1YG9/dXvwEPnJVcWh2HzQcJC2D5hiYwgUlR3js3YPgvU7LaI19kUMNwxQWGRVVb 46hf2tNXMpYCHlqarAv2oQ== 0000912057-97-001349.txt : 19970122 0000912057-97-001349.hdr.sgml : 19970122 ACCESSION NUMBER: 0000912057-97-001349 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970121 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY FIRST BANKSHARES INC CENTRAL INDEX KEY: 0000857593 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 460391436 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-19368 FILM NUMBER: 97508120 BUSINESS ADDRESS: STREET 1: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 BUSINESS PHONE: 7012985600 MAIL ADDRESS: STREET 1: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 8-A12G 1 FORM 8-A12G 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 COMMUNITY FIRST BANKSHARES, INC. - -------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) DELAWARE 46-0391436 ------------------------- ------------------- (State of incorporation (I.R.S. Employer or organization) Identification No.) 520 MAIN AVENUE FARGO, NORTH DAKOTA 58124-0001 ------------------------- ------------------ (Address of principal (Zip Code) executive offices) If this Form relates to the If this Form relates to the registration of a class of debt registration of a class of debt securities and is effective securities and is to become upon filing pursuant to effective simultaneously General Instruction Act(c)(1) with the effectiveness of please check the following box. / / 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: None Securities to be registered pursuant to Section 12(g) of the Act: __% Cumulative Capital Securities, $25 liquidation amount, of CFB Capital I Page 1 of 2 INFORMATION REQUIRED IN REGISTRATION STATEMENT Item 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED. Incorporated by reference to the sections entitled "Description of the Capital Securities," "Description of Junior Subordinated Debentures," "Description of Guarantee" and "Relationship Among the Capital Securities, the Junior Subordinated Debentures and the Guarantee" in the Registrant's Form S-3 Registration Statement (File No. 333-19921) filed with the Commission on January 16, 1997 (the "1997 Form S-3"), and the same sections in the Company's Prospectus to be filed pursuant to Rule 424(b) are deemed to be incorporated by reference herein. Item 2. EXHIBITS. 4.1 Trust Agreement of CFB Capital I dated as of January 14, 1997.* 4.2 Form of Amended and Restated Trust Agreement of CFB Capital I, to be dated _________, 1997.* 4.3 Form of Capital Security Certificate of CFB Capital I (included as an exhibit to Exhibit 4.2). 4.4 Form of Capital Securities Guarantee Agreement.* ____________________ * Incorporated by reference to Exhibits 4.4, 4.5 and 4.7 to the 1997 Form S-3. 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. COMMUNITY FIRST BANKSHARES, INC. Dated: January 20, 1997 By /s/ Mark A. Anderson -------------------------------------- Mark A. Anderson, Executive Vice President and Chief Financial Officer Page 2 of 2 -----END PRIVACY-ENHANCED MESSAGE-----