-----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, CfLVnex1y9Gq6E3Xx2m/kI+wEC/HPianmg1HJRgu+HzmcYgM1YWR/f07lS2MrlA1 xbtKFbvLv0e6pgRPRFgTow== 0000950144-97-007971.txt : 19970721 0000950144-97-007971.hdr.sgml : 19970721 ACCESSION NUMBER: 0000950144-97-007971 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970718 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: REPTRON ELECTRONICS INC CENTRAL INDEX KEY: 0000918765 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-ELECTRONIC PARTS & EQUIPMENT, NEC [5065] IRS NUMBER: 382081116 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-23426 FILM NUMBER: 97642747 BUSINESS ADDRESS: STREET 1: 14401 MCCORMICK DR CITY: TAMPA STATE: FL ZIP: 33626 BUSINESS PHONE: 8138542351 MAIL ADDRESS: STREET 1: 14401 MCCORMICK DR CITY: TAMPA STATE: FL ZIP: 33626 8-A12G 1 REPTRON ELECTRONICS, INC. 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 REPTRON ELECTRONICS, INC. (Exact name of registrant as specified in its charter) Florida 38-2081116 (State of incorporation or organization (I.R.S. Employer Identification No.) 14401 MCCORMICK DRIVE TAMPA, FLORIDA 33626 (Address of principal executive office) (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 NONE NONE Securities to be registered pursuant to Section 12(g) of the Act: ___% CONVERTIBLE SUBORDINATED NOTES DUE 2004 (Title of class) ================================================================================ 2 REPTRON ELECTRONICS, INC. INFORMATION REQUIRED IN REGISTRATION STATEMENT ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED. The description of the Registrant's ____% Convertible Subordinated Notes due 2004 is incorporated herein by reference to the section captioned "Description of Notes" of the preliminary Prospectus constituting a part of the Registrant's Registration Statement on Form S-3 (Registration No. 333-31605), filed with the Securities and Exchange Commission (the "Commission") on July 18, 1997. The preliminary Prospectus, as may hereafter be amended and filed as part of an amendment to the Registrant's Registration Statement on Form S-3, or pursuant to Rule 424 is incorporated herein by reference. ITEM 2. EXHIBITS. 4.1 Form of Indenture between the Registrant and Reliance Trust Company, as Trustee, relating to the ___% Convertible Subordinated Notes due 2004, including form of ___% Convertible Subordinated Notes due 2004 (incorporated by reference to Exhibit 4.1 to the Registrant's Registration Statement on Form S-3, filed July 18, 1997 (Registration No. 333-31605)).* - -------------------- *To be filed by Amendment 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. REPTRON ELECTRONICS, INC. By: /s/Paul J. Plante ----------------------------------- Paul J. Plante Chief Operating Officer Date: July 18, 1997 -----END PRIVACY-ENHANCED MESSAGE-----