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
COST-U-LESS, INC.
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(Exact name of Registrant as specified in its charter)
Washington 91-1615590
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(State of incorporation or organization) (I.R.S. Employer Identification No.)
12410 S.E. 32nd Street
Bellevue, Washington 98005
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(Address of principal executive offices) (Zip Code)
If this form relates to the registration of If this form relates to the registration of a
a class of securities pursuant to Section class of securities pursuant to Section 12(g)
12(b) of the Exchange Act and is effective of the Exchange Act and is effective pursuant
pursuant to General Instruction A.(c), to General Instruction A.(d), please check the
please check the following box. [_] following box. [X]
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
Securities to be registered pursuant to Section 12(g) of the Act:
Common Stock, $0.001 par value per share
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(Title of Class)
Page 1 of 4
Exhibit Index on Page 4
ITEM 1. DESCRIPTION OF REGISTRANT'S SECURITIES TO BE REGISTERED
For a description of the Common Stock being registered, reference is made
to the section entitled "Description of Capital Stock" included in the
Prospectus (the "Prospectus") dated June 23, 1998 contained in the Registrant's
Amendment No.3 to the Registration Statement on Form S-1, File No.333-52459,
filed with the Securities and Exchange Commission on June 23, 1998 (the
"Registration Statement"). A copy of pages 49-51 of the Prospectus are attached
as Exhibit 3 to this filing pursuant to Rule 12b-23 under the Securities
Exchange Act of 1934, as amended.
ITEM 2. EXHIBITS
The following exhibits are filed as a part of this Registration Statement:
Exhibit No. Description
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1 Amended and Restated Articles of Incorporation of the
Registrant. (Incorporated by reference to Exhibit 3.1
to the Registration Statement.)
2 Amended and Restated Bylaws of the Registrant.
(Incorporated by reference to Exhibit 3.2 to the
Registration Statement.)
3 Pages 49-51 of the Prospectus
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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.
COST-U-LESS, INC.
/s/ Allan Youngberg
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Vice President - Chief Financial Officer,
Secretary and Treasurer
Dated: 6/29/98
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EXHIBIT INDEX
Exhibit No. Description Sequential
- ----------- ----------- Page No.
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1 Amended and Restated Articles of Incorporation of the Registrant. --
(Incorporated by reference to Exhibit 3.1 to the Registration
Statement.)
2 Amended and Bylaws of the Registrant. (Incorporated by reference to --
Exhibit 3.2 to the Registration Statement.)
3 Pages 49-51 of the Prospectus Filed
herewith
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