- - -------------------------------------------------------------------------------- - - -------------------------------------------------------------------------------- FORM 8-A SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 -------------- FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(b) OR 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 -------------- KARRINGTON HEALTH, INC. (Exact name of Registrant as specified in its charter) OHIO 31-1461482 (State of Incorporation (IRS Employer or organization) Identification No. 919 OLD HENDERSON ROAD COLUMBUS, OHIO 43220 (614) 451-5151 (Address of Principal Executive Offices) ---------------- SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT: Name of each exchange Title of each class on which each class to be so registered is to be registered - - ------------------- ------------------- NONE ------------------ 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(g) of the Act: COMMON SHARES, WITHOUT PAR VALUE - - -------------------------------------------------------------------------------- - - -------------------------------------------------------------------------------- Item 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED The description of the Registrant's Common Shares contained under the heading "DESCRIPTION OF CAPITAL STOCK" on pages 37-40 of the Prospectus (Subject to Completion) Dated May 10, 1996, contained in the Registrant's Registration Statement on Form S-1 (File No. 333- 03491), is incorporated herein by reference. Item 2. EXHIBITS The following exhibits are filed as part of the Registration Statement: 1. Proposed Form of Amended Articles of the Registrant. 2. Proposed Form of Code of Regulations of the Registrant. 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. KARRINGTON HEALTH, INC. Date: June 5, 1996 By: Richard R. Slager ----------------------------------- Name: Richard R. Slager Title: Chairman of the Board, President and Chief Executive Officer