-----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, UR2WgXmzn4EwQis4SJxxyFAye5Pp3QJmKKSO+/eJzXz5sk6bwoKAh37q4ID5E683 jN8MMvgCzIcTtyNQSKC+dQ== 0001047469-03-042428.txt : 20031231 0001047469-03-042428.hdr.sgml : 20031231 20031231153654 ACCESSION NUMBER: 0001047469-03-042428 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20031231 EFFECTIVENESS DATE: 20031231 FILER: COMPANY DATA: COMPANY CONFORMED NAME: STOREVERYTHING INC CENTRAL INDEX KEY: 0001173528 IRS NUMBER: 364426552 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-18 FILM NUMBER: 031080601 BUSINESS ADDRESS: STREET 1: P O BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MERIDIAN MOBILITY RESOURCES INC CENTRAL INDEX KEY: 0001169079 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-92688-16 FILM NUMBER: 031080597 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: POST OFFICE BOX 988 CITY: FORT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 219 429 2511 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SIRVA TITLE AGENCY INC CENTRAL INDEX KEY: 0001173522 IRS NUMBER: 341942433 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-24 FILM NUMBER: 031080602 BUSINESS ADDRESS: STREET 1: 6070 PARKLAND DRIVE CITY: MAYFIELD HEIGHTS STATE: OH ZIP: 44124 BUSINESS PHONE: 4406845500 FORMER COMPANY: FORMER CONFORMED NAME: CRS TITLE AGENCY INC DATE OF NAME CHANGE: 20020516 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIED TRANSPORTATION FORWARDING INC CENTRAL INDEX KEY: 0001173524 IRS NUMBER: 363422806 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-22 FILM NUMBER: 031080594 BUSINESS ADDRESS: STREET 1: 215 W DIAHL ROAD CITY: NAPERVILLE STATE: IL ZIP: 60563 BUSINESS PHONE: 6307173000 FILER: COMPANY DATA: COMPANY CONFORMED NAME: GLOBAL VAN LINES INC CENTRAL INDEX KEY: 0001173525 IRS NUMBER: 810288174 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-21 FILM NUMBER: 031080587 BUSINESS ADDRESS: STREET 1: 5001 U S HIGHWAY 30 WET STREET 2: P O BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL ASSOCIATION OF INDEPENDENT TRUCKERS LLC CENTRAL INDEX KEY: 0001173527 IRS NUMBER: 810288174 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-20 FILM NUMBER: 031080606 BUSINESS ADDRESS: STREET 1: 215 DIEHL ROAD CITY: NAPERVILLE STATE: IL ZIP: 60563 BUSINESS PHONE: 8003238560 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SIRVA RELOCATION LLC CENTRAL INDEX KEY: 0001173531 IRS NUMBER: 300066709 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-16 FILM NUMBER: 031080604 BUSINESS ADDRESS: STREET 1: 6070 PARKLAND DRIVE CITY: MAYFIELD HEIGHTS STATE: OH ZIP: 44124 BUSINESS PHONE: 4406845445 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NORTH AMERICAN VAN LINES INC /DE CENTRAL INDEX KEY: 0001103280 STANDARD INDUSTRIAL CLASSIFICATION: TRUCKING & COURIER SERVICES (NO AIR) [4210] IRS NUMBER: 521840893 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233 FILM NUMBER: 031080599 BUSINESS ADDRESS: STREET 1: 5001 WEST PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIED VAN LINES INC CENTRAL INDEX KEY: 0000003975 STANDARD INDUSTRIAL CLASSIFICATION: TRUCKING (NO LOCAL) [4213] IRS NUMBER: 360719320 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-01 FILM NUMBER: 031080593 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 W PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: VANGUARD INSURANCE AGENCY INC CENTRAL INDEX KEY: 0001104225 IRS NUMBER: 362777624 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-02 FILM NUMBER: 031080600 BUSINESS ADDRESS: STREET 1: 215 W DIEHL RD CITY: NAPERVILLE STATE: IL ZIP: 60563 BUSINESS PHONE: 6307175522 MAIL ADDRESS: STREET 1: 215 W DIEHL RD CITY: NAPERVILLE STATE: IL ZIP: 60563 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIED FREIGHT FORWARDING INC CENTRAL INDEX KEY: 0001104226 IRS NUMBER: 362405833 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-03 FILM NUMBER: 031080596 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 W STREET 2: POST OFFICE BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 W STREET 2: BOX 988 CITY: FT WAYNE STATE: IL ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIED INTERNATIONAL NA INC CENTRAL INDEX KEY: 0001104227 IRS NUMBER: 362906660 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-04 FILM NUMBER: 031080595 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 W STREET 2: POST OFFICE BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 W STREET 2: BOX 988 CITY: FT WAYNE STATE: IL ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIED VAN LINES TERMINAL CO CENTRAL INDEX KEY: 0001104228 IRS NUMBER: 360719320 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-05 FILM NUMBER: 031080592 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 W STREET 2: POST OFFICE BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 W STREET 2: BOX 988 CITY: FT WAYNE STATE: IL ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: A RELOCATION SOLUTIONS MANAGEMENT CO CENTRAL INDEX KEY: 0001104229 IRS NUMBER: 360719320 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-06 FILM NUMBER: 031080591 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 W STREET 2: POST OFFICE BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 W STREET 2: BOX 988 CITY: FT WAYNE STATE: IL ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FLEET INSURANCE MANAGEMENT INC CENTRAL INDEX KEY: 0001104468 IRS NUMBER: 351471355 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-07 FILM NUMBER: 031080589 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FRONTRUNNER WORLDWIDE INC CENTRAL INDEX KEY: 0001104469 IRS NUMBER: 351900598 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-08 FILM NUMBER: 031080588 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: GREAT FALLS NORTH AMERICAN INC CENTRAL INDEX KEY: 0001104470 IRS NUMBER: 351900598 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-09 FILM NUMBER: 031080598 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NACAL INC CENTRAL INDEX KEY: 0001104471 IRS NUMBER: 952368626 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-10 FILM NUMBER: 031080609 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SIRVA FREIGHT FORWARDING INC CENTRAL INDEX KEY: 0001104474 IRS NUMBER: 356296161 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-11 FILM NUMBER: 031080603 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FORMER COMPANY: FORMER CONFORMED NAME: NAVTRANS INTERNATIONAL FREIGHT FORWARDING INC DATE OF NAME CHANGE: 20000128 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FEDERAL TRAFFIC SERVICE INC CENTRAL INDEX KEY: 0001104476 IRS NUMBER: 351115697 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-12 FILM NUMBER: 031080590 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FORMER COMPANY: FORMER CONFORMED NAME: NORTH AMERICAN DISTRIBUTION SYSTEMS INC DATE OF NAME CHANGE: 20000128 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NORTH AMERICAN LOGISTICS LTD CENTRAL INDEX KEY: 0001104478 IRS NUMBER: 132890402 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-13 FILM NUMBER: 031080608 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NORTH AMERICAN VAN LINES OF TEXAS INC CENTRAL INDEX KEY: 0001104480 IRS NUMBER: 741440447 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-14 FILM NUMBER: 031080607 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SIRVA IMAGING SOLUTIONS INC CENTRAL INDEX KEY: 0001104482 IRS NUMBER: 351635373 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 333-96233-15 FILM NUMBER: 031080605 BUSINESS ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 BUSINESS PHONE: 2194292511 MAIL ADDRESS: STREET 1: 5001 US HIGHWAY 30 WEST STREET 2: PO BOX 988 CITY: FT WAYNE STATE: IN ZIP: 46801-0988 FORMER COMPANY: FORMER CONFORMED NAME: RELOCATION MANAGEMENT SYSTEMS INC DATE OF NAME CHANGE: 20000128 15-15D 1 a2125720z15-15d.htm 15-15D

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 333-96233

North American Van Lines, Inc.   Allied Freight Forwarding, Inc.

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

5001 U.S. Highway 30 West, P.O. Box 988, Fort Wayne,
Indiana 46801-0988
(260) 429-2511

 

700 Oakmont Lane, Westmont, Illinois 60559
(630) 570-3000

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

133/8% Senior Subordinated Notes due 2009

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
     


Allied International N.A., Inc.

 

Allied Transportation Forwarding, Inc.

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

700 Oakmont Lane, Westmont, Illinois 60559
(630) 570-3000

 

700 Oakmont Lane, Westmont, Illinois 60559
(630) 570-3000

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Allied Van Lines, Inc.

 

Allied Van Lines Terminal Company

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

700 Oakmont Lane, Westmont, Illinois 60559
(630) 570-3000

 

700 Oakmont Lane, Westmont, Illinois 60559
(630) 570-3000

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
     

2



A Relocation Solutions Management Company

 

Federal Traffic Service, Inc.

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

700 Oakmont Lane, Westmont, Illinois 60559
(630) 570-3000

 

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Fleet Insurance Management, Inc.

 

FrontRunner Worldwide, Inc.

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

 

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
     

3



Global Van Lines, Inc.

 

Great Falls North American, Inc.

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

 

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Meridian Mobility Resources, Inc.

 

NACAL, Inc.

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

700 Oakmont Lane,
Westmont, Illinois 60559
(630) 570-3000

 

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
     

4



National Association of Independent Truckers, LLC

 

North American Logistics, Ltd.

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

700 Oakmont Lane,
Westmont, Illinois 60559
(630) 570-3000

 

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

North American Van Lines of Texas, Inc.

 

SIRVA Imaging Solutions, Inc.

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

 

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
     

5



SIRVA Freight Forwarding, Inc.

 

SIRVA Relocation LLC

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

700 Oakmont Lane,
Westmont, Illinois 60559
(630) 570-3000

 

6070 Parkland Drive,
Mayfield Heights, Ohio 44124
(440) 684-5445

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

SIRVA Title Agency, Inc.

 

StorEverything, Inc.

 
(Exact name of co-registrant as specified in its charter)   (Exact name of co-registrant as specified in its charter)

6070 Parkland Drive,
Mayfield Heights, Ohio 44124
(440) 684-8151

 

5001 U.S. Highway 30 West, P.O. Box 988,
Fort Wayne, Indiana 46801-0988
(260) 429-2511

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 
(Title of each class of securities covered by this Form)   (Title of each class of securities covered by this Form)

None

 

None

 
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)   (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
     

6



Vanguard Insurance Agency, Inc.

 

 

   
(Exact name of co-registrant as specified in its charter)    

700 Oakmont Lane,
Westmont, Illinois 60559
(630) 570-3000

 

 

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

Guarantee of 133/8% Senior Subordinated Notes due 2009 of North American Van Lines, Inc.

 

 

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

Rule 12g-4(a)(1)(ii)

 

o

 

Rule 12h-3(b)(1)(ii)

 

o

Rule 12g-4(a)(2)(i)

 

o

 

Rule 12h-3(b)(2)(i)

 

o

Rule 12g-4(a)(2)(ii)

 

o

 

Rule 12h-3(b)(2)(ii)

 

o

 

 

 

 

Rule 15d-6

 

o

        Approximate number of holders of record as of the certification or notice date: 3

7


        Pursuant to the requirements of the Securities Exchange Act of 1934 North American Van Lines, Inc., Allied Freight Forwarding, Inc., Allied International N.A., Inc., Allied Transportation Forwarding, Inc., Allied Van Lines, Inc., Allied Van Lines Terminal Company, A Relocation Solutions Management Company, Federal Traffic Service, Inc., Fleet Insurance Management, Inc., FrontRunner Worldwide, Inc., Global Van Lines, Inc., Great Falls North American, Inc., Meridian Mobility Resources, Inc., NACAL, Inc., National Association of Independent Truckers, LLC, North American Logistics, Ltd., North American Van Lines of Texas, Inc., SIRVA Imaging Solutions, Inc., SIRVA Freight Forwarding, Inc., SIRVA Relocation LLC, SIRVA Title Agency, Inc., StorEverything, Inc. and Vanguard Insurance Agency, Inc. have caused this certification/notice to be signed on their behalf by the undersigned duly authorized persons.

Date: December 31, 2003   NORTH AMERICAN VAN LINES, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

ALLIED FREIGHT FORWARDING, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

ALLIED INTERNATIONAL N.A., INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

ALLIED TRANSPORTATION FORWARDING, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

ALLIED VAN LINES, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

ALLIED VAN LINES TERMINAL COMPANY

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

8



Date: December 31, 2003

 

A RELOCATION SOLUTIONS MANAGEMENT
COMPANY

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

FEDERAL TRAFFIC SERVICE, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

FLEET INSURANCE MANAGEMENT, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

FRONTRUNNER WORLDWIDE, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

GLOBAL VAN LINES, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

GREAT FALLS NORTH AMERICAN, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

MERIDIAN MOBILITY RESOURCES, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

9



Date: December 31, 2003

 

NACAL, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

NATIONAL ASSOCIATION OF INDEPENDENT
TRUCKERS, LLC

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

NORTH AMERICAN LOGISTICS, LTD.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

NORTH AMERICAN VAN LINES OF TEXAS, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

SIRVA IMAGING SOLUTIONS, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

SIRVA FREIGHT FORWARDING, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

10



Date: December 31, 2003

 

SIRVA RELOCATION LLC

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

SIRVA TITLE AGENCY, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

STOREVERYTHING, INC.

 

 

By:

/s/  
RALPH A. FORD      
Name:  Ralph A. Ford
Title:    Secretary

Date: December 31, 2003

 

VANGUARD INSURANCE AGENCY, INC.

 

 

By:

/s/  
ROBERT J. HENRY      
Name:  Robert J. Henry
Title:    Secretary

        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.

11




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