AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON FEBRUARY 4, 2004
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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 (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
Milestone Scientific Inc.
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(Exact name of registrant as specified in its charter)
Delaware 13-3545623
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(State of incorporation (I.R.S. Employer
or organization) Identification No.)
220 South Orange Avenue, Livingston,
New Jersey 07039
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(Address of principal executive office) (Zip Code)
If this form relates to the registration If this form relates to the
of a class of securities pursuant to registration a class of
Section 12(b) of the Exchange Act and is securities pursuant to of the
effective upon filing pursuant to General Exchange Act and is Section 12(g)
Instruction A.(c), check the following of effective pursuant to General
box. [X] Instruction A.(d), check the
following box.
Securities Act registration statement file number to which this form
relates: 333-110376
Securities to be registered pursuant to Section 12(b) of the Act:
TITLE OF EACH CLASS NAME OF EACH EXCHANGE WHICH
TO BE SO REGISTERED EACH CLASS IS TO BE REGISTERED
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Units, each consisting of two shares of Common Stock and
one Warrant to purchase one share of Common Stock American Stock Exchange and Pacific Stock Exchange
Warrants to purchase Common Stock American Stock Exchange and Pacific Stock Exchange
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SECURITIES TO BE REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT:
NONE
Item 1. Description of Registrant's Securities to be Registered.
The description of securities required by this Item is contained in the
Registration Statement of the Registrant on Form S-2, File No. 333-110376, as
amended (the "Registration Statement"), filed with the Commission on November
10, 2003, and is incorporated herein by reference to such filing. See
"Description of Securities."
Item 2. Exhibits
The following exhibits required to be filed by this item are
incorporated herein by reference to the exhibits filed by the registrant with
the Registration Statement:
1. Specimen copy of the Common Stock Certificate (Exhibit 4.1 to the
Registration Statement).
2. Specimen copy of the Unit Certificate (Exhibit 4.2 to the Registration
Statement).
3. Form of Warrant Agreement including form of Warrant (Exhibit 4.3 to the
Registration Statement).
4. Articles of Incorporation, as amended (Exhibits 3.1 through 3.7 to the
Registration Statement).
5. Bylaws (Exhibit 3.8 to the Registration Statement).
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, thereto duly authorized.
Dated: February 4, 2004
MILESTONE SCIENTIFIC INC.
By: /s/ Leonard Osser
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Leonard Osser,
Chairman and Chief Executive Officer
EXHIBIT INDEX
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No. Description
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1. Specimen copy of the Common Stock Certificate (Exhibit 4.1 to the
Registration Statement).
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2. Specimen copy of the Unit Certificate (Exhibit 4.2 to the Registration
Statement).
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3. Form of Warrant Agreement including Form of Warrant (Exhibit 4.3 to the
Registration Statement).
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4. Articles of Incorporation, as amended (Exhibits 3.1 through 3.7 to the
Registration Statement).
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5. Bylaws (Exhibit 3.3 to the Registration Statement).
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