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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
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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
QUALITY CARE SOLUTIONS, INC.
(EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
NEVADA 86-0690975
(STATE OF INCORPORATION OR ORGANIZATION) (I.R.S. EMPLOYER IDENTIFICATION NO.)
5030 E. SUNRISE DRIVE, PHOENIX, ARIZONA 85044
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES) (ZIP CODE)
If this Form relates to the If this Form relates to the
registration of a class of debt registration of a class of debt
securities and is effective upon securities and is to become
filing pursuant to General effective simultaneously with the
Instruction A(c)(1) please check effectiveness of a concurrent
the following box. registration statement under the
Securities Act of 1933 pursuant to
General Instruction A(c)(2) please
check the following box.
Securities Act registration statement file number to which
this form relates: 333-30432
(If applicable)
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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Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, no par value
(Title of class)
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ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED.
Registrant's Registration Statement on Form S-1 under the Securities
Act of 1933, file No. 333-30432, filed on February 15, 2000 and as amended from
time to time thereafter, is incorporated herein by reference, including
specifically, "Description of Securities", contained therein.
ITEM 2. EXHIBITS.
Exhibit No. Description of Exhibit
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1 Specimen Certificate for no par value common stock of
Registrant, filed as Exhibit 4.1 to the Registration Statement
on Form S-1 under the Securities Act of 1933, file No.
333-30432, filed on February 15, 2000 and incorporated herein
by reference.
2 Articles of Incorporation of Registrant as amended, filed as
Exhibit 3.2 to the Registration Statement on Form S-1 under
the Securities Act of 1933, file No. 333-30432, filed on
February 15, 2000 and incorporated herein by reference.
3 Bylaws of Registrant as amended, filed as Exhibit 3.4 to the
Registration Statement on Form S-1 under the Securities Act of
1933, file No. 333-30432, filed on February 15, 2000 and
incorporated herein by reference.
SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange
Act of 1934, Registrant has duly caused this registration statement to be signed
on its behalf by the undersigned, thereto duly authorized.
QUALITY CARE SOLUTIONS, INC.
(Registrant)
Date: February 16, 2000 By:
Robert F. Theilmann
Chief Financial Officer
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EXHIBIT INDEX
Exhibit No. Description of Exhibit
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1. Specimen Certificate for no par value common stock of
Registrant, filed as Exhibit 4.1 to the Registration Statement
on Form S-1 under the Securities Act of 1933, file No.
333-30432, filed on February 15, 2000 and incorporated herein
by reference.
2. Articles of Incorporation of Registrant as amended, filed as
Exhibit 3.2 to the Registration Statement on Form S-1 under
the Securities Act of 1933, file No. 333-30432, filed on
February 15, 2000 and incorporated herein by reference.
3. Bylaws of Registrant as amended, filed as Exhibit 3.4 to the
Registration Statement on Form S-1 under the Securities Act of
1933, file No. 333-30432, filed on February 15, 2000 and
incorporated herein by reference.
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