0001144204-11-058917.txt : 20111024 0001144204-11-058917.hdr.sgml : 20111024 20111024060437 ACCESSION NUMBER: 0001144204-11-058917 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20111024 DATE AS OF CHANGE: 20111024 EFFECTIVENESS DATE: 20111024 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Santa Lucia Bancorp CENTRAL INDEX KEY: 0001355607 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-51901 FILM NUMBER: 111153485 BUSINESS ADDRESS: STREET 1: P. O. BOX 6047 CITY: ATASCADERO STATE: CA ZIP: 93423 BUSINESS PHONE: 805-466-7087 MAIL ADDRESS: STREET 1: P. O. BOX 6047 CITY: ATASCADERO STATE: CA ZIP: 93423 15-12G 1 v237793_15-12b.htm Unassociated Document


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UNITED STATES
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SECURITIES AND EXCHANGE COMMISSION
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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 000-51901 
 
SANTA LUCIA BANCORP
(Exact name of registrant as specified in its charter)
 
7480 El Camino Real, Atascadero, California (805) 466-7087
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
 
Common Shares
(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)
  
o
  
 
Rule 12g-4(a)(2)
  
o
  
 
Rule 12h-3(b)(1)(i)
  
x
  
 
Rule 12h-3(b)(1)(ii)
  
o
  
 
Rule 15d-6
  
o
  

Approximate number of holders of record as of the certification or notice date:             1              
 
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: 10-21-2011     By: /s/ John C. Hansen  
           
 
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.

SEC2069(02-08)
  
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