form15_12b.htm
 

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
 

FORM 15
 


 
CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION
UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934
OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934.
 
Commission File Number 001-10857
 

ASSISTED LIVING CONCEPTS, INC.
(Exact name of registrant as specified in its charter)
 

 

W140 N8981 Lilly Road, Menomonee Falls, Wisconsin 53051
(262) 257-8888
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
 
Class A Common Stock (par value $0.01 per share)
(Title of each class of securities covered by this Form)
 
None
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
 

 

 
Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:
 
         
 
Rule 12g-4(a)(1)
 
x
 
 
Rule 12g-4(a)(2)
 
o
 
 
Rule 12h-3(b)(1)(i)
 
x
 
 
Rule 12h-3(b)(1)(ii)
 
o
 
 
Rule 15d-6
 
o
 
 
Approximate number of holders of record as of the certification or notice date: One.

 
 

 

 
Pursuant to the requirements of the Securities Exchange Act of 1934, Assisted Living Concepts, LLC has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
 
             
Date: July 22, 2013
     
By:
 
/s/ Ronald Cami
           
Name: 
Ronald Cami
           
Title:
Vice President