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