15-12G 1 doc1.txt 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: 0-21679 RETURN ASSURED INCORPORATED (Exact name of registrant as specified in its charter) 5962 LA PLACE COURT, SUITE 230 CARLSBAD, CALIFORNIA 92008 (760) 438-7245 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) COMMON STOCK, PAR VALUE $0.001 PER SHARE CLASS A WARRANTS (Title of each class of securities covered by this Form) NONE (Title 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)(i) [x] Rule 12h-3(b)(1)(i) [ ] Rule 12g-4(a)(1)(ii) [x] Rule 12h-3(b)(1)(ii) [ ] Rule 12g-4(a)(2)(i) [ ] Rule 12h-3(b)(2)(i) [ ] Rule 12g-4(a)(2)(ii) [ ] Rule 12h-3(b)(2)(ii) [ ] Rule 15d-6 [ ] Approximate number of holders of record as of the certification or notice date: Less than 300 persons Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, Return Assured Incorporated has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. RETURN ASSURED INCORPORATED Date: January 16, 2003 By: /s/ Matthew Sebal ----------------------------- Name: Matthew Sebal Title: Secretary and Director