1
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-A 12G
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
SUBURBAN LODGES OF AMERICA, INC.
------------------------------------
(EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
Georgia 58-1781184
- --------------------------------------------------------------------------------
(STATE OF INCORPORATION OF ORGANIZATION (I.R.S. EMPLOYER Indentification No.)
120 Interstate North Parkway East, Suite 120, Atlanta, Georgia 30339
- --------------------------------------------------------------------------------
(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
N/A N/A
- -------------------------------- ----------------------------------------
- -------------------------------- ----------------------------------------
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 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:
SERIES A PARTICIPATING CUMULATIVE PREFERRED STOCK PURCHASE RIGHTS.
- ---------------------------------------------------------------------------
(Title of Class)
Total of 2 sequentially numbered pages.
Exhibit Index appears on page 2.
1
2
ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED
Incorporated herein by reference is the description of the Rights
set forth under the heading "Rights Agreement" contained in the
Registrant's Amended Registration Statement on Form S-1
(Registration No. 333-2876) under the Securities Act of 1933, as
amended, filed on March 28, 1996, and amended on May 7, 1996.
ITEM 2. EXHIBITS.
II.4.1 Form of Common Stock Certificate of the Registrant
(incorporated herein by reference to Exhibit 4.1 to the
Registrant's Registration Statement No. 333-2876) under the
Securities Act of 1933, as amended, filed on March 28, 1996, and
amended on May 7, 1996).
II.10.16 Rights Agreement between Registrant and American Stock Transfer &
Trust Company (including exhibits to the filed therewith,
including the Form of Board Resolution Establishing and
Designating Preferred Stock, Form of Rights Certificate, and
Summary Description of the Shareholder Rights Plan) (incorporated
herein by reference to Exhibit 10.16 to the Registrant's
Registration Statement on Form S-1 (Registration No. 333-2876)
under the Securities Act of 1933, as amended, filed on March 28,
1996, and amended on May 7, 1996).
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.
May 7, 1996 SUBURBAN LODGES OF AMERICA, INC.
-------------------------------
(Registrant)
By: /s/ David E. Krischer
---------------------------
David E. Krischer
President and Chief
Executive Officer