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 | OMB APPROVAL OMB Number: 3235-0056 Expires: October 31, 2011 Estimated average burden hours per response. . . 3.0 |
OxySure Systems, Inc. |
(Exact name of registrant as specified in its charter) |
Delaware | 71-0960725 | |
(State of incorporation or organization) | (I.R.S. Employer Identification No.) |
10880 John W. Elliot Drive, Suite 600, Frisco, Texa | 75034 | |
(Address of principal executive offices) | (Zip Code) |
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 | |
_____________________________________________ | _______________________________________________ | |
_____________________________________________ | ________________________________________________ |
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. o
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. x
Securities Act registration statement file number to which this form relates: 333-159402 (if applicable)
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, $0.0004 per share |
(Title of class) |
INFORMATION REQUIRED IN REGISTRATION STATEMENT
Item 1. Description of Registrant’s Securities to be Registered.
Incorporated herein by this reference is the description of the securities prepared in compliance with Item 202 of Regulation S-K set forth beneath the caption "Description of Securities," in the prospectus filed by OxySure Systems, Inc. (the "Registrant") with the Securities and Exchange Commission as part of the Registrant's Registration Statement on Form S-1, Registration No. 333-159402 (the "Registration Statement"), and all amendments thereto.
Item 2. Exhibits.
Registrant incorporates herein by this reference, the exhibits from the Registration Statement as follows:
Exhibit No. | Description | |
3.1 | Articles of Incorporation, dated January 14, 2004 | |
3.2 | Amendment to Articles of Incorporation, dated August 16, 2004 | |
3.3 | Amendment to Articles of Incorporation, dated April 7, 2009 | |
3.4 | Amendment to Articles of Incorporation, dated May 19, 2009 | |
3.5 | Amended and Restated Articles of Incorporation, dated July 7, 2009 | |
3.6 | Bylaws, dated January 15, 2004 | |
4.1 | Form of Warrant, dated December 2008 | |
4.2 | Form of Subscription Agreement for Preferred Stock (March 2005) | |
4.5 | Form of Voting Stock Agreement (February 1, 2004) | |
5.1 | Opinion of Oswald & Yap LLP | |
10.1 | Initial Employment Agreement with Julian T. Ross, dated January 15, 2004 (As Amended July 19, 2004) | |
10.1.1 | Amendment to Initial Employment Agreement with Julian T. Ross, dated August 30, 2008 | |
10.1.2 | Second Employment Agreement with Julian T. Ross, dated January 15, 2009 | |
10.1.3 | Amendment to Second Employment Agreement with Julian T. Ross, dated January 15, 2009 |
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10.1.4 | Second Amendment to Second Employment Agreement with Julian T. Ross, dated January 15, 2009 | |
10.1.5 | As amended Second Employment Agreement with Julian T. Ross, dated January 15, 2009 | |
10.1.6 | Third Amendment to Second Employment Agreement with Julian T. Ross, dated January 15, 2010 | |
10.1.7 | As amended Second Employment Agreement with Julian T. Ross, dated January 15, 2010 | |
10.2 | Freeman Base Employment Agreement with Scott Freeman, dated September 6, 2005 | |
10.2.1 | Freeman Base Employment Agreement First Amendment dated August 31, 2008 | |
10.2.2 | Freeman Base Employment Agreement Second Amendment dated January 15, 2009 | |
10.2.3 | As amended Freeman Base Employment Agreement dated January 15, 2009 | |
10.3 | Frisco Economic Development Corporation Performance Agreement, dated April 3, 2007 | |
10.3.1 | Frisco Economic Development Corporation Promissory Note, dated April 3, 2007 | |
10.4 | 5-Year Lease Agreement with Sinacola Commercial Properties, Limited. dated March 6, 2007 | |
10.4.1 | First Amendment to the 5-Year Lease Agreement with Sinacola Commercial Properties, Limited, dated August 24, 2007 | |
10.4.2 | Second Amendment to the 5-Year Lease Agreement with Sinacola Commercial Properties, Limited, dated November 24, 2008 | |
10.5 | First Note extended to Agave Resources, LLC, dated April 15, 2008. | |
10.5.1 | Amendment to First Note extended to Agave Resources, LLC, dated February 20, 2009 | |
10.6 | “Second Note” extended to JTR Investments, Limited, dated March 1, 2008 | |
10.6.1 | Amendment to “Second Note” extended to JTR Investments, Limited, dated February 20, 2009 | |
10.7 | “Senior Note” Board Approval, dated November 1, 2008 | |
10.7.1 | “Senior Note” extended to JTR Investments, Limited, dated December 31, 2008 |
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10.7.2 | “Senior Note” extended to JTR Investments, Limited, dated June 30, 2009 | |
10.8 | Asset Purchase and Stock Transfer Agreement with JTR Investments, Limited, and affiliates, dated January 15, 2004 | |
10.9 | Amended Agreement with IR Services, dated June 22, 2009 | |
10.9.1 | Original Agreement with IR Services, Inc., dated April 20, 2009 | |
10.9.2 | Cancellation Agreement and Mutual Release with IR Services, dated December 15, 2009 | |
10.10 | Voting Stock Option Plan, dated February 1, 2004 | |
10.11 | Form of Subcontractor Agreement and Assignment of Intellectual Property | |
10.12 | Form of Lock-up Agreement-Common Stock | |
10.13 | Form of Lock-up Agreement-Preferred Stock | |
10.14 | Department of Transportation Approval Letter, dated October 3, 2008 | |
10.15 | Master Lease Agreement with VenCore Solutions, LLC, dated October 26, 2006 | |
10.16 | North Texas Enterprise Center for Medical Technology License Agreement, dated April 8, 2004 | |
10.16.1 | Amendment of North Texas Enterprise Center for Medical Technology License Agreement, dated August 22, 2004 | |
10.16.2 | Amendment of North Texas Enterprise Center for Medical Technology License Agreement, dated May 26, 2005 | |
10.17 | CitiCapital Lease 1, dated September 13, 2007 | |
10.18 | CitiCapital Lease Agreement 2, dated September 13, 2007 | |
10.19 | CitiCapital Lease Agreement 3, dated September 21, 2007 | |
10.19.1 | Amendment to CitiCapital Lease Agreement 3, dated October 24, 2007 | |
10.20 | Dell Lease 1 Agreement, dated June 5, 2008 | |
10.21 | Dell Lease 2 Agreement, dated June 5, 2008 | |
10.22 | Dell Lease 3 Agreement, dated December 1, 2008 | |
10.23 | Neville Financing Lease Agreement, dated October 17, 2007 |
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10.24 | NMHG- Yale Lease Agreement, dated December 14, 2007 | |
10.25 | Wachovia Lease Agreement, dated December 20, 2007 | |
10.26 | Cancellation Agreement and Mutual Release with RKH Capital, dated June 22, 2009 | |
10.27 | Sinacola Commercial Properties, Ltd. Letter Agreement, dated December 10, 2009 | |
10.28 | Note Agreement with Tony & Judy Alcedo Family Trust, dated December 10, 2009 | |
10.29 | Afritex License Agreement dated March 26, 2010 | |
10.30 | Afritex Distribution Agreement dated March 26, 2010 | |
10.31 | Afritex Note Purchase Agreement dated March 26, 2010 | |
14.1 | Code of Ethics | |
23.1 | Consent of Oswald & Yap LLP (included in it opinion set forth in Exhibit 5 hereto) | |
23.2 | Consent of Sam Kan & Company, LLC | |
23.3 | Consent of Sam Kan & Company, LLC | |
99.1 | Form of Subscription Agreement |
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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.
(Registrant) | OxySure Systems, Inc | |
Date | September 20, 2010 | |
By | ||
Julian T. Ross, President |
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