Termination of Registration of a Class of Security Under Section 12(b) (15-12b)
01 November 2021 - 11:25PM
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: 001-35506
Select Interior Concepts, Inc.
(Exact name of registrant as specified in its charter)
400 Galleria Parkway, Suite 1760
Atlanta, Georgia 30339
(888) 701-4737
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
Common Stock, $0.001 Par Value
(Title of 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:
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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: One (1)
Pursuant to the requirements of the Securities Exchange Act of 1934, Select Interior Concepts, Inc. has caused this certification/notice to be signed on its
behalf by the undersigned duly authorized person.
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Select Interior Concepts, Inc.
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Date: November 1, 2021
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By:
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/s/ Patrick Dussinger
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Name:
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Patrick Dussinger
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Title:
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Chief Executive Officer
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