Document
    

 
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
 
Evolus, Inc.
(Exact name of registrant as specified in its charter)
 
Delaware
(State of incorporation or organization)
46-1385614
(I.R.S. Employer Identification No.)
 
 
17901 Von Karman Avenue, Suite 150
Irvine, California
 (Address of principal executive offices)
92614
(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, par value $0.00001 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: 333-222478
Securities to be registered pursuant to Section 12(g) of the Act: None
 



Item 1. Description of Registrant’s Securities to be Registered.
Evolus, Inc. (the “Registrant”) hereby incorporates by reference the description of its common stock, par value $0.00001 per share, to be registered hereunder contained under the heading “Description of Capital Stock” in the prospectus that constitutes a part of the Registrant’s Registration Statement on Form S-1 (File No. 333-222478), initially filed with the Securities and Exchange Commission (the “Commission”) on January 9, 2018, as subsequently amended from time to time thereafter (the “Registration Statement”), and in the prospectus included in the Registration Statement to be filed separately by the Registrant with the Commission pursuant to Rule 424(b) under the Securities Act of 1933, as amended, which prospectus shall be deemed to be incorporated by reference herein.

Item 2. Exhibits.

Pursuant to 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 Securities Exchange Act of 1934, as amended.



        


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, thereto duly authorized.
Dated: February 1, 2018
EVOLUS, INC.
 
 
By:
/s/ Murthy Simhambhatla, Ph.D.
 
Name: Murthy Simhambhatla, Ph.D.
 
Title: President and Chief Executive Officer