0001511164-16-000866.txt : 20160520 0001511164-16-000866.hdr.sgml : 20160520 20160520122704 ACCESSION NUMBER: 0001511164-16-000866 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20160520 DATE AS OF CHANGE: 20160520 EFFECTIVENESS DATE: 20160520 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PERPETUAL INDUSTRIES INC. CENTRAL INDEX KEY: 0001395445 STANDARD INDUSTRIAL CLASSIFICATION: MISC INDUSTRIAL & COMMERCIAL MACHINERY & EQUIPMENT [3590] IRS NUMBER: 711032898 STATE OF INCORPORATION: NV FISCAL YEAR END: 0731 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-55248 FILM NUMBER: 161665345 BUSINESS ADDRESS: STREET 1: 5 - 8720 MACLEOD TRAIL SOUTH, #110 CITY: CALGARY STATE: A0 ZIP: T2H 0M4 BUSINESS PHONE: 403-214-4321 MAIL ADDRESS: STREET 1: 5 - 8720 MACLEOD TRAIL SOUTH, #110 CITY: CALGARY STATE: A0 ZIP: T2H 0M4 FORMER COMPANY: FORMER CONFORMED NAME: PERPETUAL INDUSTRIES INC DATE OF NAME CHANGE: 20070404 15-12G 1 form1512g20may2016.htm 15-12G Converted by EDGARwiz

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 333-187134

PERPETUAL INDUSTRIES INC.
(Exact name of registrant as specified in its charter)

#110, 5-8720 Macleod Trail South, Calgary, Alberta, Canada, T2H 0M4, Tel: 403-214-4321
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Common Stock, par value $0.001 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)

☒

Rule 12g-4(a)(2)

☐

Rule 12h-3(b)(1)(i)

☐

Rule 12h-3(b)(1)(ii)

☐

Rule 15d-6

☒

Approximate number of holders of record as of the certification or notice date: 179

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

Date: May 20, 2016

Perpetual Industries Inc.

By: /s/ Brent W. Bedford
Brent W. Bedford, Chairman of the Board, CEO, Principal Executive Officer, Principal Accounting Officer and Principal Financial Officer