-----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, Kz5IjxF5JzXxYGgz9SoAdryRTJe/PpEgio2zAi+1JHBxsf/HcCvP1fCY9wO7PF+X U4O7EI8+jW/fV8asAckt6g== 0000950115-98-001068.txt : 19980601 0000950115-98-001068.hdr.sgml : 19980601 ACCESSION NUMBER: 0000950115-98-001068 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980529 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: MEDIQ INC CENTRAL INDEX KEY: 0000350920 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS EQUIPMENT RENTAL & LEASING [7350] IRS NUMBER: 510219413 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 15-12G SEC ACT: SEC FILE NUMBER: 000-15500 FILM NUMBER: 98634454 BUSINESS ADDRESS: STREET 1: ONE MEDIQ PLZ CITY: PENNSAUKEN STATE: NJ ZIP: 08110 BUSINESS PHONE: 6096656300 MAIL ADDRESS: STREET 1: ONE MEDIQ PLZ CITY: PENNSAUKEN STATE: NJ ZIP: 08110 15-12G 1 FORM 15 ================================================================================ FORM 15 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 10549 Certification and Notice of Termination of Registration under Section 12(g) Of the Securities and 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 1-8147 MEDIQ Incorporated ------------------ (Exact name of registrant as specified in its charter) One MEDIQ Plaza Pennsauken, NJ 08110 (609)662-3200 ------------- (Address, including zip code, and telephone number, including area code of registrant's principal executive offices) Common Stock, par value $1.00 per share; Series A Preferred Stock, par value $.50 per share -------------------------------------------------- (Title of each class of securities covered by this Form) 7.50% Exchangeable Subordinated Debentures due 2003; Series A 13% Cumulative Compounding Preferred Stock, par value $.01 ------------------------------------------------------------------- (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)(i) |X| Rule 12h-3(b)(1)(ii) |_| Rule 12g-4(a)(1)(ii) |_| Rule 12h-3(b)(2)(i) |_| Rule 12g-4(a)(2)(i) |_| Rule 12h-3(b)(2)(ii) |_| Rule 12g-4(a)(2)(ii) |_| Rule 15d-6 |_| Rule 12h-3(b)(1)(i) |X| Approximate number of holders of record as of the certification or notice date: Common Stock, par value $1.00 per share, and Series A Preferred Stock, par value $.50 per share: None. 7.50% Exchangeable Subordinated Debentures due 2003 :6. Series A 13% Cumulative Compounding Preferred Stock, par value $.01: 1,431. Pursuant to the requirements of the Securities Exchange Act of 1934, MEDIQ Incorporated has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. DATE: May 29, 1998 By: /s/ Thomas E. Carroll ---------------------- Thomas E. Carroll President and Chief Executive Officer ================================================================================ -----END PRIVACY-ENHANCED MESSAGE-----