-----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, Qz0fFDlvnMFbZj/N1efgRY7nSAt/uxkjWm/vBAo7b/Ezj6uNgnV9VAzG92psG3dX B42nmmUaDaFhvT2ocyPfgQ== 0001050234-04-000134.txt : 20040816 0001050234-04-000134.hdr.sgml : 20040816 20040813174502 ACCESSION NUMBER: 0001050234-04-000134 CONFORMED SUBMISSION TYPE: NT 10-Q PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040630 FILED AS OF DATE: 20040816 EFFECTIVENESS DATE: 20040816 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PREMIER DOCUMENT SERVICES INC CENTRAL INDEX KEY: 0001177274 STANDARD INDUSTRIAL CLASSIFICATION: [9995] IRS NUMBER: 752980786 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: NT 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 000-50340 FILM NUMBER: 04975597 BUSINESS ADDRESS: STREET 1: 4001 S DECATUR BLVD STREET 2: SUITE 37-218 CITY: LAS VEGAS STATE: NV ZIP: 89103 BUSINESS PHONE: 7028134543 MAIL ADDRESS: STREET 1: 4001 S DECATUR BLVD STREET 2: SUITE 37-218 CITY: LAS VEGAS STATE: NV ZIP: 89103 NT 10-Q 1 premier12b-25.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 12b-25 NOTIFICATION OF LATE FILING (Check One) [ ] Form 10-K and Form 10-KSB[ ] Form 20-F [ ] Form 11-K [X] Form 10-Q and Form 10-QSB[ ] Form N-SAR For Period Ended: June 30, 2004 [ ] 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: _______________________ Read Attached Instruction Sheet Before Preparing Form. Please Print or Type. Nothing in this form shall be construed to imply that the Commission has verified any information contained herein. If the notification relates to a portion of the filing checked above, identify the Item(s) to which the notification relates: N/A PART 1 REGISTRANT INFORMATION Full Name of Registrant: Premier Document Services, Inc. Former Name if Applicable: Address of Principal Executive Office Street and Number: 4001 S. Decatur Blvd., Suite 37-218 City, State and Zip Code: Las Vegas, Nevada 89103 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 reasons described in reasonable detail in Part III of this form could not be eliminated without unreasonable effort or expense; [X] (b) The subject annual report, semi-annual report, transition report on Form 10-K, Form 20-F, 11-K, Form N-SAR, or portion thereof, will be filed on or before the fifteenth /1/ calendar day following the prescribed due date; or the subject quarterly report or transition report on Form 10-Q, 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 the Form 10-K and Form 10-KSB, 11-K, 20-F, Form 10-Q and Form 10-QSB, N-SAR, or the transition report or portion thereof could not be filed within the prescribed period. (Attach extra sheets if needed) The Registrant was unable to file on August 16, 2004 its Quarterly Report on Form 10-QSB for the three month period ended June 30, 2004 ("Form 10-QSB") because the Registrant is awaiting information from various third parties, which would enable it to properly and accurately complete the Form 10-QSB. PART IV OTHER INFORMATION (1) Name and telephone number of person to contact in regard to this notification Crystal Kim Han (702) 813-4543 --------------- ----- -------- (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 reports) been filed? If the 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? [ ] Yes [X] 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. Premier Document Services, 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: August 13, 2004 By: /s/ Crystal Kim Han --------------- ------------------- Name: Crystal Kim Han Title: President & CEO /2/ -----END PRIVACY-ENHANCED MESSAGE-----