-----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, P8jC7iMD7Mfx8WGBGyA5iCqo+pGhWak6LTG6I1kxvjOIBddNIYMOLlyCHsMFDBow r2bbpIfr4Y/0iAqYY7vJDQ== 0001140377-07-000058.txt : 20070402 0001140377-07-000058.hdr.sgml : 20070402 20070402140455 ACCESSION NUMBER: 0001140377-07-000058 CONFORMED SUBMISSION TYPE: NT 10-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061231 FILED AS OF DATE: 20070402 DATE AS OF CHANGE: 20070402 EFFECTIVENESS DATE: 20070402 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PACIFIC HEALTH CARE ORGANIZATION INC CENTRAL INDEX KEY: 0001138476 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 870285238 FILING VALUES: FORM TYPE: NT 10-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-50009 FILM NUMBER: 07737553 BUSINESS ADDRESS: STREET 1: 51 HARBOR RIDGE DR CITY: NEWPORT BEACH STATE: CA ZIP: 92260 BUSINESS PHONE: 949-721-8272 NT 10-K 1 phco_12b25.txt FORM 12B25 FOR DECEMBER 31, 2006 OMB APPROVAL OMB Number: 3235-0058 Expires: April 30, 2009 Estimated average burden hours per response 2.50 SEC FILE NUMBER 000-33215 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 12b-25 NOTIFICATION OF LATE FILING (Check One): [X] Form 10-KSB [ ] Form 20-F [ ] Form 11-K [ ] Form 10-QSB [ ] Form 10-D [ ] Form N-SAR [ ] Form N-CSR For Period Ended: December 31, 2006 [ ] Transition Report on Form 10-K [ ] Transition Report on Form 20-F [ ] Transition Report on Form 11-K [ ] Transition Report on Form 10-Q [ ] Transition Report on Form N-SAR For the Transition Period Ended:________________________ - --------------------------------------------------------------------------- If the notification relates to a portion of the filing checked above, identify the Item(s) to which the notification relates: - --------------------------------------------------------------------------- PART I -- REGISTRANT INFORMATION Pacific Health Care Organization, Inc. - --------------------------------------------------------------------------- Full Name of Registrant n/a - --------------------------------------------------------------------------- Former Name if Applicable 21 Toulon - --------------------------------------------------------------------------- Address of Principal Executive Office (Street and Number) Newport Beach, California 92660 - --------------------------------------------------------------------------- City, State and Zip Code PART II -- RULES 12b-25(b) AND (c) If the subject report could not be filed without unreasonable effort or expense and the registrant seeks relief pursuant to Rule 12b-25(b), the following should be completed. (Check box if appropriate) | (a) The reason described in reasonable detail in Part III of | this form could not be eliminated without unreasonable | effort or expense; | (b) The subject annual report, semi-annual report, transition | report on Form 10-KSB, Form 20-F, 11-K, Form N-SAR or Form [X] | N-CSR, or portion thereof, will be filed on or before the | fifteenth calendar day following the prescribed due date; or | the subject quarterly report or transition report on Form | 10-QSB, or subject distribution report on Form 10-D, or | portion thereof, will be filed on or before the fifth | calendar day following the prescribed due date; and | (c) The accountant's statement or other exhibit required by Rule | 12b-25(c) has been attached if applicable. PART III -- NARRATIVE State below in reasonable detail the reasons why Forms 10-KSB, 20-F, 11-K, 10-QSB, 10-D, N-SAR, N-CSR, or the transition report or portion thereof, could not be filed within the prescribed time period. The annual report of the registrant on Form 10-KSB could not be timely filed because management requires additional time to compile and verify the data required to be included in the report. The report will be filed within fifteen calendar days of the date the original report was due. PART IV -- OTHER INFORMATION (1) Name and telephone number of person to contact in regard to this notification Tom Kubota 949 721-8272 ------------------- ----------- ------------------ (Name) (Area Code) (Telephone Number) (2) Have all other periodic reports required under Section 13 or 15(d) of the Securities Exchange Act of 1934 or Section 30 of the Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required to file such report(s) been filed? If answer is no, identify report(s). [X] Yes [ ] No (3) Is it anticipated that any significant change in results of operations from the corresponding period for the last fiscal year will be reflected by the earnings statements to be included in the subject report or portion thereof? [X] Yes [ ] No If so, attach an explanation of the anticipated change, both narratively and quantitatively, and, if appropriate, state the reasons why a reasonable estimate of the results cannot be made. The Company anticipates that during the year ended December 31, 2006 total revenues will have decreased approximately 5% compared to the year ended December 31, 2005. This is mainly attributable to a 26% decrease HCO enrollees, coupled with decreased per enrollee fees for MPN enrollees as a result of increased competition during 2006. The Company expects total operating expenses to have remained flat, decreasing less than 1% during the 2006 fiscal year. During the year ended December 31, 2006 the Company anticipates realizing a loss from operations of approximately $90,000 compared to income from operations of $13,000 during the year ended December 31, 2005. The Company anticipates realizing net loss of approximately $77,000 or $0.00 per share during the 2006 fiscal year compared to a net loss of approximately $29,000 or $0.00 per share during the 2005 fiscal year. - --------------------------------------------------------------------------- Pacific Health Care Organization, Inc. --------------------------------------------- (Name of Registrant as Specified in Charter) has caused this notification to be signed on its behalf by the undersigned hereunto duly authorized. Date: April 2, 2007 By /S/ Tom Kubota ----------------------------------- Tom Kubota, President -----END PRIVACY-ENHANCED MESSAGE-----