Termination of Registration of a Class of Security Under Section 12(b) (15-12b)
28 November 2017 - 8:50AM
Edgar (US Regulatory)
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OMB APPROVAL
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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.
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Commission File Number 001-33523
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(Exact name of registrant as specified in its charter)
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310 Goddard, Suit 150, Irvine, CA 92618, (415) 374-7782
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(Address, including zip code, and telephone number, including area code, of registrants principal
executive offices)
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Common Stock
Common Stock Purchase Warrants
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(Title of each class of securities covered by this Form)
(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:
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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)(1)(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 certification or notice date: 1 (Common Stock) and 0
(Warrants)
Pursuant to the requirements of the Securities Exchange Act of 1934
(Name of registrant as specified in charter)
has
caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
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Date:
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November 27, 2017
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By:
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/s/ Lee Bendekgey
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President, Chief Executive Officer, Chief Financial Officer and Secretary
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Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 and 15d-22 of the General Rules and Regulations under the
Securities Exchange Act of 1934. The registrant shall file with the Commission three copies of Form 15, one of which shall be manually signed. It may be signed by an officer of the registrant, by counsel or by any other duly authorized person. The
name and title of the person signing the form shall be typed or printed under the signature.
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SEC 2069 (08-11)
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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