-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, KkHSisYIl1PV246MPT9I/0T8jRxroxViTOVFgndxXD92WGJTD/zazI+Zod5yRmBh ZniIWplgkpCdQSODMKm1cA== 0001021890-98-000043.txt : 19980311 0001021890-98-000043.hdr.sgml : 19980311 ACCESSION NUMBER: 0001021890-98-000043 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980310 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: LASER STORM INC CENTRAL INDEX KEY: 0001001879 STANDARD INDUSTRIAL CLASSIFICATION: GAMES, TOYS & CHILDREN'S VEHICLES (NO DOLLS & BICYCLES) [3944] IRS NUMBER: 841139159 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12G SEC ACT: SEC FILE NUMBER: 000-28254 FILM NUMBER: 98561618 BUSINESS ADDRESS: STREET 1: 7700 CHERRY CREEK SO DR STREET 2: UNIT 301 CITY: DENVER STATE: CO ZIP: 80231 BUSINESS PHONE: 3037518545 MAIL ADDRESS: STREET 1: 7700 CHERRY CREEK S DR STREET 2: UNIT 301 CITY: DENVER STATE: CO ZIP: 80231 15-12G 1 CERTIFICATION AND NOTICE OF TERMINATION FORM 15 [As adopted in Release No. 34-20784, March 22, 1984, 49 F.R. 12688.] 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: 0-28254 LASER STORM, INC. (Exact name of registrant as specified in its charter) 7808 Cherry Creek South Drive, Unit #310 Denver, CO 80231 (303-751-8545) (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) $0.001 Par Value Common Stock and Warrants to Purchase $0.001 Par Value Common Stock (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 report: Rule l2g-4(a)(1)(i) [X] Rule 12h-3(b)(1)(ii) [ ] Rule l2g-4(a)(1)(ii)[ ] Rule 12h-3(b)(2)(i) [ ] Rule l2g-4(a)(2)(i) [ ] Rule 12h-3(b)(2)(ii) [ ] Rule l2g-4(a)(2)(ii)[ ] Rule 15d-6 [ ] Rule 12h-3(b)(1)(I) [ ] Approximate number of holders of record as of the certification or notice date: 53 (33 Common + 23 Warrants) Pursuant to the requirements of the Securities Exchange Act of 1934 Laser Storm, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. DATE: March 10, 1998 BY: /s/ Robert J. Cooney ------------------------ ---------------------------------- Robert J. Cooney, CEO & President Instruction: This form is required by Rules 12g-4, l2h-3 and 15d-6 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. -----END PRIVACY-ENHANCED MESSAGE-----