0001193125-13-035458.txt : 20130204 0001193125-13-035458.hdr.sgml : 20130204 20130204061403 ACCESSION NUMBER: 0001193125-13-035458 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20130204 DATE AS OF CHANGE: 20130204 EFFECTIVENESS DATE: 20130204 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Caribou Coffee Company, Inc. CENTRAL INDEX KEY: 0001332602 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810] IRS NUMBER: 411731219 STATE OF INCORPORATION: MN FISCAL YEAR END: 0101 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-51535 FILM NUMBER: 13568201 BUSINESS ADDRESS: STREET 1: 3900 LAKEBREEZE AVENUE CITY: BROOKLYN CENTER STATE: MN ZIP: 55429 BUSINESS PHONE: 763-592-2200 MAIL ADDRESS: STREET 1: 3900 LAKEBREEZE AVENUE CITY: BROOKLYN CENTER STATE: MN ZIP: 55429 15-12G 1 d478159d1512g.htm FORM 15 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 000-51535

 

 

CARIBOU COFFEE COMPANY, INC.

 

(Exact name of registrant as specified in its charter)

 

 

3900 Lakebreeze Avenue North

Brooklyn Center, Minnesota 55429

(763) 592-2200

 

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Common Stock, par value $0.01 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 provision(s) relied upon to terminate or suspend the duty to file reports:

 

Rule 12g-4(a)(1)   x
Rule 12g-4(a)(2)   ¨
Rule 12h-3(b)(1)(i)   x
Rule 12h-3(b)(1)(ii)   ¨
Rule 15d-6   ¨

Approximate number of holders of record as of the certification or notice date: One

Pursuant to the requirements of the Securities Exchange Act of 1934, Caribou Coffee Company, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

Date:   

 

February 4 , 2013

        By:    /s/ Joachim Creus
          

Name: Joachim Creus

Title: Director

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.