-----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, Et8MAd7Zh8GUGldlMxZ6ZLWyXnPlWZEq2yjG1JMPT0PtMeCbu1smhZm7kwCl3E9V Sk6w4LdpflYeVatBDqTlbA== 0000914121-02-001301.txt : 20021126 0000914121-02-001301.hdr.sgml : 20021126 20021125185059 ACCESSION NUMBER: 0000914121-02-001301 CONFORMED SUBMISSION TYPE: 15-12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20021126 EFFECTIVENESS DATE: 20021126 FILER: COMPANY DATA: COMPANY CONFORMED NAME: LODGIAN INC CENTRAL INDEX KEY: 0001066138 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 522093696 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-14537 FILM NUMBER: 02839904 BUSINESS ADDRESS: STREET 1: 3445 PEACHTREE ROAD N E SUITE 700 CITY: ATLANTA STATE: CA ZIP: 30326 BUSINESS PHONE: 4043649400 MAIL ADDRESS: STREET 1: 3445 PEACHTREE ROAD N E SUITE 700 CITY: ATLANTA STATE: CA ZIP: 30326 15-12B 1 lo112502_15-12b.txt FORM 15 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 001-14537 Lodgian, Inc. (Exact name of registrant as specified in its charter) 3445 Peachtree Road, N.E., Suite 700 Atlanta, Georgia 30326 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Common Stock, par value $.01 per share*, Rights to Purchase Participating Preferred Stock (Title of each class of securities covered by this Form) Common Stock, par value $.01 per share*; Series A Preferred Stock, par value $.01 per share, Class A Warrants, Class B Warrants (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) (X) Rule 12h-3(b)(1)(i) ( ) 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: None Pursuant to the requirements of the securities Exchange Act of 1934 (Name of registrant as specified in charter) has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Date: November 25, 2002 By: /s/ Daniel E. Ellis ----------------------------------- Name: Daniel E. Ellis Title: Secretary and Vice President 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. * = Pursuant to an Order of the United States Bankruptcy Court for the Southern District of New York, dated November 5, 2002, which confirmed the First Amended Joint Plan of Reorganization of Lodgian, Inc., et al., as of the date of this Form 15, the old common stock of Lodgian, Inc. has been cancelled and new shares of common stock are being issued. -----END PRIVACY-ENHANCED MESSAGE-----