Termination of Registration of a Class of Security Under Section 12(g) (15-12g)
27 Junho 2017 - 4:53PM
Edgar (US Regulatory)
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: 0-11392
SPAN-AMERICA MEDICAL SYSTEMS, INC.
(Exact name of registrant as specified
in its charter)
70 Commerce Center
Greenville, South Carolina 29615
(864) 288-8877
(Address, including zip code, and telephone
number, including area code, of registrant’s principal executive offices)
Common Stock, no par value 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)
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☒
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Rule 12g-4(a)(2)
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☐
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Rule 12h-3(b)(1)(i)
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☒
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Rule 12h-3(b)(2)(ii)
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☐
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Rule 15d-6
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☐
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Rule 15d-22(b)
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☐
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Approximate number of holders of record
as of the certificate or notice date: 1.*
Pursuant to the requirements of the Securities
Exchange Act of 1934, as amended, Span-America Medical Systems, Inc. has caused this certification/notice to be signed on its behalf
by the undersigned duly authorized person.
Date: June 27, 2017
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By:
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/s/ Marcel Bourassa
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Marcel Bourassa
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President
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*
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Effective June 16, 2017, Savaria (SC) Inc., a South Carolina
corporation and an indirect, wholly-owned subsidiary of Savaria Corporation, an Alberta, Canada corporation, was merged with and
into Span-America Medical Systems, Inc., with Span-America Medical Systems, Inc. continuing as the surviving corporation and an
indirect, wholly-owned subsidiary of Savaria Corporation.
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