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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
QK HEALTHCARE, INC.
(Exact name of registrant as specified in its charter)
Delaware 11-3508451
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(State of incorporation or organization) (I.R.S. Employer
Identification No.)
2060 Ninth Avenue, Ronkonkoma, NY 11779
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(Address of principal executive offices) (Zip code)
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. /x/
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. / /
SECURITIES ACT REGISTRATION STATEMENT FILE NUMBER TO WHICH THIS FORM RELATES:
333-88769
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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Common Stock, $.001 Par Value New York Stock Exchange
SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12 (g) OF THE ACT:
None
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ITEM 1. Description of Registrant's Securities to be Registered
The description of the Registrant's Common Stock, $.001 par value per
share (the "Common Stock") hereby is incorporated by reference to the
section captioned "Description of Capital Stock" in the Registrant's
Registration Statement on Form S-1 (File No. 333-88769) (the "S-1
Registration Statement"), as originally filed with the Securities and
Exchange Commission (the "Commission") on October 12, 1999.
ITEM 2. Exhibits
Exhibit Number Description
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1 Second Amended and Restated Certificate of
Incorporation of Registrant, as amended
February 1, 2001 (incorporated by reference
to Exhibit 3.1 of the S-1 Registration
Statement)
2 Amended and Restated By-Laws of Registrant
(incorporated by reference to Exhibit 3.2 of
the S-1 Registration Statement)
3 Specimen of Registrant's Common Stock
certificate (incorporated by reference to
Exhibit 4.1 of the S-1 Registration
Statement)
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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.
March 6, 2001
QK HEALTHCARE, INC.
By: /s/ Michael W. Katz
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Name: Michael W. Katz
Title: Chief Financial Officer
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