SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act December 1, 2003 ---------------- Date of Report (Date of Earliest Event Reported) CHIROPRACTIC 21 INTERNATIONAL, INC. ----------------------------------- (Exact Name of Registrant as Specified in its Charter) Nevada 0-30499 84-0911532 ------ ------- ---------- (State or other (Commission File No.) (IRS Employer I.D. No.) Jurisdiction) 4685 South Highland Drive, Suite 202 Salt Lake City, Utah 84117 -------------------------- (Address of Principal Executive Offices) (801) 278-9424 -------------- Registrant's Telephone Number N/A --- (Former Name or Former Address if changed Since Last Report) Item 7. Financial Statements and Exhibits. (c) Exhibits. Exhibit No. Exhibit Description ----------- ------------------- 99 Press Release * Summaries of any exhibit are modified in their entirety by this reference to each exhibit. Item 9. Regulation FD Disclosure See Exhibit 99, Press Release dated December 1, 2003, a copy of which is attached hereto and incorporated herein by reference. SIGNATURES Pursuant to the requirements of the Securities and Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized. CHIROPRACTIC 21 INTERNATIONAL, INC. Date: 12/1/03 /s/ Vickie Jenson ------- ------------------------ Vickie Jenson Secretary/Treasurer and Director