FORM 8-A
Delaware 14-1708544 -------------------------------------- --------------------------------------- (State of incorporation or organization) (I.R.S. Employer Identification Number) 3020 High Ridge Road Suite 100 Boynton Beach, FL 33426 -------------------------- ---------- (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:
333-69340
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: ------------------- ------------------------------- Common stock, $0.001 par value American Stock Exchange per share. |
Securities to be registered pursuant to Section 12(g) of the Act:
Information concerning the common stock to be registered hereunder is incorporated herein by reference to the sections entitled "DESCRIPTION OF SECURITIES" in the prospectus forming a part of the registrant's registration statement on Form S-8 (File no. 333-69340) as filed on September 13, 2001 with the Securities and Exchange Commission pursuant to the Securities Act of 1933.
The following exhibits are filed herewith or incorporated herein by reference:
1 Certificate of Amendment dated February 4, 1998 to Amended and Restated Certificate of Incorporation of T/F Purifiner, Inc. dated July 24, 1996 (incorporated by reference to Exhibit 1 to the Registrant's Form 8-K/A filed on February 11, 1998). 3.1 Amended and Restated Certificate of Incorporation of T/F Purifiner, Inc. dated July 24, 1996 (incorporated by reference to Exhibit 3.1 to the Registrant's Registration Statement on Form 10-SB filed on July 30, 1996). 3.2 Bylaws of T/F Purifiner, Inc. (incorporated by reference to Exhibit 3.2 to the Registrant's Registration Statement on Form 10-SB filed on July 30, 1996). 3.3 Memorandum and Articles of Association of T/F Purifiner, Ltd. (incorporated by reference to Exhibit 3.3 to the Registrant's Registration Statement on Form 10-SB filed on July 30, 1996). 4.1 Form of Stock Certificate 5.1 Opinion and Consent of Atlas Pearlman, P.A. [includes Exhibit 23(i)](incorporated by reference to Exhibit 5.1 to the Registrant's Registration Statement on Form S-8 filed on September 13, 2001). 10.1 2000 Non-Employee Directors' Stock Plan (incorporated by reference to Exhibit 10.1 to the Registrant's Registration Statement on Form S-8 filed on September 13, 2001). 10.2 Compensatory Plan with Oscar Otero [Petro Pure (PPI), Inc.] (incorporated by reference to Exhibit 10.2 to the Registrant's Registration Statement on Form S-8 filed on September 13, 2001). 23.1 Consent of Independent Certified Public Accountants (incorporated by reference to Exhibit 23.1 to the Registrant's Registration Statement on Form S-8 filed on September 13, 2001). |
SIGNATURE
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, thereunto duly authorized.
PURADYN FILTER TECHNOLOGIES, INC.
By: /s/ Richard C. Ford ------------------------------ Richard C. Ford Chief Executive Officer Date: December 6, 2001 |
Exhibit 4.1
Number Shares
PURADYN FILTER TECHNOLOGIES, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
COMMON STOCK CUSIP 746091 10 7
is the registered Holder of _______________________________________Shares of the Common Stock Par Value $.001 Per Share
fully paid and non-assessable, transferable only on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.
In Witness Whereof, the said Corporation has caused this Certificate to be signed by its duly authorized officers and its Corporate Seal to be hereunto affixed this ____ day of _______, 20____.
For Value Received _________________________ hereby sell assign and transfer unto
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
____________________________________________________________________ Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint ___________________________________________________________________ Attorney to transfer the said Shares on the books of the within named Corporation with full power of substitution in the premises. Dated __________________ 20_____
In presence of