SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR 12(g) OF THE
SECURITIES EXCHANGE ACT OF 1934
SYNERGY FINANCIAL GROUP, INC.
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(Exact Name of Registrant as Specified in Its Charter)
New Jersey Applied For
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(State of Incorporation (IRS Employer
or Organization) Identification No.)
310 North Avenue East, Cranford, New Jersey 07016
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(Address of Principal Executive Offices) (Zip Code)
If this form relates to the registration of a class of If this form relates to the registration of a class of
securities pursuant to Section 12(b) of the Exchange Act securities pursuant to Section 12(g) of the Exchange Act
and is effective pursuant to General Instruction A.(c), and is effective pursuant to General Instruction A.(d),
please check the following box.|_| please check the following box.|X|
Securities Act registration statement file number to which this form relates: 333-108884
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
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None N/A
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, par value $0.10 per share
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(Title of class)
INFORMATION REQUIRED IN REGISTRATION STATEMENT
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Item 1. Description of Registrant's Securities to be Registered
The information set forth under the captions "Description of Capital
Stock" and "Restrictions on Acquisition of Synergy Financial Group, Inc." in the
Prospectus included in Part I of the Registration Statement on Form S-1 of the
registrant, originally filed with the Securities and Exchange Commission on
September 17, 2003 (File No. 333-108884), is incorporated by reference in
response to this Item 1. Information set forth under the captions "Description
of Capital Stock" and "Restrictions on Acquisition of Synergy Financial Group,
Inc." contained in a prospectus relating to SEC File No. 333-108884 and to be
subsequently filed by the registrant pursuant to 17 C.F.R. ss.230.424(b) shall
be deemed to be incorporated by reference into this registration statement when
filed.
Item 2. Exhibits
3(i) Certificate of Incorporation of Synergy Financial Group, Inc.
3(ii) Bylaws of Synergy Financial Group, Inc.
SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange
Act of 1934, as amended, the registrant has duly caused this Registration
Statement to be signed on its behalf by the undersigned, thereunto duly
authorized.
SYNERGY FINANCIAL GROUP, INC.
Date: November 12, 2003 By: /s/John S. Fiore
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John S. Fiore
President