UNITED STATES
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
| HEARTBEAM, INC. |
| (Exact name of registrant as specified in its charter) |
| Delaware | 47-4881450 | |
| (State
or other jurisdiction of incorporation or organization) |
(I.R.S.
Employer Identification No.) |
| 2118
Walsh Avenue, Suite 210 Santa Clara, CA |
95050 | |
| (Address of principal executive offices) | (Zip Code) |
Securities to be registered pursuant to Section 12(b) of the Act:
| Title of each class to be so registered | Name of each exchange on which each class is to be registered | |
| Common Stock, $0.0001 par value | The Nasdaq Stock Market LLC | |
| Warrants, each whole Warrant exercisable for one Common Stock at an exercise price of $ [ ] per share | The Nasdaq Stock Market LLC |
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) or (e), check the following box. ☒
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) or (e), check the following box. ☐
If this Form relates to the registration of a class of securities concurrently with a Regulation A offering, check the following box. ☐
Securities Act registration statement or Regulation A offering statement file number to which this form relates: 333-259358
Securities to be registered pursuant to Section 12(g) of the Act:
| None |
| (Title of class) |
INFORMATION REQUIRED IN REGISTRATION STATEMENT
| Item 1. | Description of the Registrant's Securities to be Registered. |
The description of the common stock, par value $0.0001 per share, of HeartBeam, Inc. (the “Registrant”), under the section captioned “Description of Capital Stock” in the prospectus included in the Registrant’s registration statement on Form S-1 (File No. 333-259358) (the “Registration Statement”), initially filed with the Securities and Exchange Commission on September 7, 2021, as subsequently amended by any amendments to such Registration Statement and by any form of prospectus filed pursuant to Rule 424(b) under the Securities Act of 1933, as amended, in connection with such Registration Statement, is incorporated herein by reference.
| Item 2. | Exhibits. |
In accordance with the Instructions as to Exhibits with respect to Form 8-A, no exhibits are required to be filed because no other securities of the Registrant are registered on The Nasdaq Stock Market LLC and the securities registered hereby are not being registered pursuant to Section 12(g) of the Exchange Act.
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SIGNATURE
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, thereto duly authorized.
| Date: | November 10, 2021 |
| HEARTBEAM, INC. | |||
| By: | /s/ Branislav Vajdic | ||
| Name: | Branislav Vajdic | ||
| Title: | Chief Executive Officer | ||
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