Termination of Registration of a Class of Security Under Section 12(b) (15-12b)
09 April 2018 - 9:08PM
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
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Commission File Number:
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001-12117
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FIRST ACCEPTANCE CORPORATION
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(Exact name of registrant as specified in its charter)
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3813 Green Hills Village Drive
Nashville, Tennessee 37215
(615) 844-2800
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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, $.01 par value per share
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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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Approximate number of holders of record as of the certification or notice date:
265
Pursuant to the requirements of the Securities Exchange Act of 1934, First Acceptance Corporation has caused this certification/notice to be
signed on its behalf by the undersigned duly authorized person.
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FIRST ACCEPTANCE CORPORATION
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By:
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/s/ Brent James Gay
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Name:
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Brent James Gay
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Title:
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Chief Financial Officer
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Date: April 9, 2018
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