-----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, W1t4IrOlPWxLwHWOUS+stqiwqNjxy1q4T8UOYJWHu6oDndNWN75rtL2VoH9QGJ8F 7TPTt9yRIREZar1KJnf5aw== 0001017619-98-000010.txt : 19980707 0001017619-98-000010.hdr.sgml : 19980707 ACCESSION NUMBER: 0001017619-98-000010 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980706 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN NATIONAL BANCORP CENTRAL INDEX KEY: 0001058896 STANDARD INDUSTRIAL CLASSIFICATION: [] STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 333-58505 FILM NUMBER: 98660430 BUSINESS ADDRESS: STREET 1: 2200 N RICHMOND STREET CITY: APPLETON STATE: WI ZIP: 54911 BUSINESS PHONE: 9207391040 MAIL ADDRESS: STREET 1: 20200 N RICHMOND STREET CITY: APPLETON STATE: WI ZIP: 54911 15-15D 1 FORM 15 FOR AMERICAN NATIONAL BANCORP, INC. 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 333-58505 AMERICAN NATIONAL BANCORP, INC. ------------------------------------------------------ (Exact name of registrant as specified in its charter) 2200 North Richmond Street, Appleton, WI 54911 (920) 739-1040 --------------------------------------------------- (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Common Stock -------------------------------------------------------- (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 provision(s) relied upon to terminate or suspend the duty to file reports: Rule 12g-4(a)(1)(i) |_| Rule 12h-3(b)(1)(ii) |_| Rule 12g-4(a)(1)(ii) |_| Rule 12h-3(b)(2)(i) |_| Rule 12g-4(a)(2)(i) |_| Rule 12h-3(b)(2)(ii) |_| Rule 12g-4(a)(2)(ii) |_| Rule 15d-6 |_| Rule 12h-3(b)(1)(i) |X| Approximate number of holders of record as of the certification or notice date: 0 (The registrant will have approximately 209 shareholders upon consummation of the transaction described in the registrant's Form S-4EF registration statement.) Pursuant to the requirements of the Securities Exchange Act of 1934, American National Bancorp. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. DATE: July 3, 1998 BY: /s/ John Knight ----------------------------------- John Knight Counsel to the Registrant -----END PRIVACY-ENHANCED MESSAGE-----