0001005477-01-501661.txt : 20011101
0001005477-01-501661.hdr.sgml : 20011101
ACCESSION NUMBER: 0001005477-01-501661
CONFORMED SUBMISSION TYPE: 15-12G
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20011030
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: LEXINGTON HEALTHCARE GROUP INC
CENTRAL INDEX KEY: 0001026348
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051]
IRS NUMBER: 061468252
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
FILING VALUES:
FORM TYPE: 15-12G
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-22261
FILM NUMBER: 1770709
BUSINESS ADDRESS:
STREET 1: 1557 NEW BRITAIN AVE
CITY: FARMINGTON
STATE: CT
ZIP: 06032
BUSINESS PHONE: 8606742700
MAIL ADDRESS:
STREET 1: 1557 NEW BRITAIN AVE
CITY: FARMINGTON
STATE: CT
ZIP: 06032
15-12G
1
d01-34961.txt
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: 000-22261
Lexington Healthcare Group, Inc.
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(Exact name of registrant as specified in its charter)
1557 New Britain Avenue, Farmington, CT 06032
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, Par Value $0.001 Per Share (Title of each 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 provisions(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) [X]
Rule 12g-4(a)(1)(ii) [ ] 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: 38
Pursuant to the requirements of the Securities Exchange Act of 1934, Lexington
Healthcare Group, Inc. has caused this certification/notice to be signed on its
behalf by the undersigned duly authorized person.
Date: October 30, 2001 By: /s/ Michael Logan
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Michael Logan
Chief Financial Officer
Instruction: This form is required by Rules 12g-4, 12h-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.