-----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, CekbwLFM4SjFhQvlFp4e0in0b1tdu4qyPUgafZot1WcuauqYpNlx3eaih11bUvtk giNSRY1HlAxFzwnEacazVw== 0000950115-99-000267.txt : 19990225 0000950115-99-000267.hdr.sgml : 19990225 ACCESSION NUMBER: 0000950115-99-000267 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990224 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: 99548816 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 INITIAL FILING SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 15 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) 7.50% Exchangeable Subordinated Debentures due 2003 ------------------------------------------------------ (Title of each class of securities covered by this Form) 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 Sections 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: 1. 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: February 24, 1999 By: /s/Jay M. Kaplan ----------------------------- Jay M. Kaplan Senior Vice President - Finance, Treasurer and Chief Financial Officer -----END PRIVACY-ENHANCED MESSAGE-----