-----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, ODJaLeHi5XiQMRZbeTT0ywslsbO3nFLeGj9OfXUwfQ8B4r3r5QYHG83dwOkVHZHb 57C9tIWQ9AFXoNHuKkUJ3g== 0000892569-98-003207.txt : 19981126 0000892569-98-003207.hdr.sgml : 19981126 ACCESSION NUMBER: 0000892569-98-003207 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 19981125 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MODTECH INC CENTRAL INDEX KEY: 0000864601 STANDARD INDUSTRIAL CLASSIFICATION: PREFABRICATED WOOD BLDGS & COMPONENTS [2452] IRS NUMBER: 330044888 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: SEC FILE NUMBER: 000-18680 FILM NUMBER: 98759835 BUSINESS ADDRESS: STREET 1: 2830 BARRETT AVE STREET 2: PO BOX 1240 CITY: PERRIS STATE: CA ZIP: 92370 BUSINESS PHONE: 9099434014 MAIL ADDRESS: STREET 1: 2830 BARRETT AVENUE STREET 2: P O BOX 1240 CITY: PERRIS STATE: CA ZIP: 92370 8-A12G 1 FORM 8-A12G 1 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 --------------- MODTECH HOLDINGS, INC. (Except name of registrant as specified in its charter) DELAWARE 33-0825386 (State of incorporation (IRS Employer or organization) Identification No.) 2830 BARRETT AVENUE, PERRIS, CALIFORNIA 92571 (Address of principal executive offices) (Zip Code)
If this form relates to the If this form relates to the registration of a class of securities registration of a class of securities pursuant to Section 12(b) of the pursuant to Section 12(g) of the Exchange Act and is effective Exchange Act and is effective pursuant to General Instruction pursuant to General Instruction A.(c), please check the following A.(c), please check the following box. [ ] box. [X]
Securities Act registration statement file number to which this form relates: 333-66209 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 NONE Securities to be registered pursuant to Section 12(g) of the Act: COMMON STOCK, $0.01 PAR VALUE (Title of class) 2 ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED. Information concerning the Registrant's Common Stock, $0.01 par value, is incorporated herein by reference to the section entitled "Holdings Capital Stock" contained in the preliminary prospectus included in the Registrant's Registration Statement on Form S-4 (File No. 333-66209), filed with the Securities and Exchange Commission on October 27, 1998 (the "S-4 Registration Statement"). ITEM 2. EXHIBITS. 1 Specimen Stock Certificate 3.1* Certificate of Incorporation of Modtech Holdings, Inc. 3.2* Bylaws of Modtech Holdings, Inc. 4* Registration Rights Agreement * Incorporated herein by reference to the exhibits of the same number in the S-4 Registration Statement. 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, thereunto duly authorized. MODTECH HOLDINGS, INC. Dated: November 25, 1998 By: /s/ EVAN M. GRUBER ---------------------------- Evan M. Gruber, Chief Executive Officer EX-1 2 SPECIMEN STOCK CERTIFICATE 1 EXHIBIT 1 ================================================================================ [Modtech Holdings Logo] COMMON STOCK COMMON STOCK Number Shares - ------------ ------------- LS - ------------ ------------- MODTECH HOLDINGS, INC. INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE SEE REVERSE FOR STATEMENT OF RIGHTS, PREFERENCES PRIVLEGES AND RESTRICTIONS CUSIP 60783C 1009 THIS CERTIFIES THAT IS THE OWNER OF FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, $.01 PAR VALUE, OF MODTECH HOLDINGS, INC. transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this certificate properly endorsed. This certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar. Witness the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. Dated: [Modtech Holdings Seal] Secretary President ================================================================================ 2 A statement of the rights, preferences, privileges and restrictions granted to or imposed upon each class of shares authorized to be issued and upon the holders thereof may be obtained, upon request and without charge, from the Corporation at its principal executive office or from the Transfer Agent. The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations. TEN COM -- as tenants in common UNIF GIFT MIN ACT -- Custodian --------------- (Cust) (Minor TEN ENT -- as tenants by the entireties under Uniform Gifts to Minors Act __________________________ JT TEN -- as joint tenants with right (State) of survivorship and not as tenants in common Additional abbreviations may also be used though not in the above list. PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE - --------------------------------------- - --------------------------------------- For value received, _____________ hereby sell, assign and transfer unto ___________________________________________________________________________ ___________________________________________________________________________ PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS OF ASSIGNEE ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint _______________________________________________________________ ___________________________________________________________________________ Attorney to transfer the said shares on the books of the within-named Corporation with full power of substitution in the premises. Dated, ____________________ ----------------------------------- NOTICE: The signature to this assignment must correspond with the name as written upon the face of the certificate in every particular, without alteration or enlargement, or any change whatever. -----END PRIVACY-ENHANCED MESSAGE-----