-----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, K8zXS4stNa2uJvsvBNl+WP+OZlSrd7iU/sFcppjPc2Ibh1UZunnysxAoPP00UGgf SShCru9+/T0ZncaKVWsMdQ== 0000909518-04-000818.txt : 20041005 0000909518-04-000818.hdr.sgml : 20041005 20041005145848 ACCESSION NUMBER: 0000909518-04-000818 CONFORMED SUBMISSION TYPE: 15-12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20041005 DATE AS OF CHANGE: 20041005 EFFECTIVENESS DATE: 20041005 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JOSTENS INC CENTRAL INDEX KEY: 0000054050 STANDARD INDUSTRIAL CLASSIFICATION: JEWELRY, PRECIOUS METAL [3911] IRS NUMBER: 410343440 STATE OF INCORPORATION: MN FISCAL YEAR END: 0102 FILING VALUES: FORM TYPE: 15-12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-05064 FILM NUMBER: 041065702 BUSINESS ADDRESS: STREET 1: 5501 NORMAN CTR DR CITY: MINNEAPOLIS STATE: MN ZIP: 55437 BUSINESS PHONE: 6128303300 MAIL ADDRESS: STREET 1: 5501 NORMAN CENTER DRIVE CITY: MINNEAPOLIS STATE: MN ZIP: 55437 15-12B 1 jostens10-4_form15.txt ================================================================================ 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 NO. 1-05064 __________________ JOSTENS, INC. (Exact name of registrant as specified in its charter) ________________ 5501 AMERICAN BOULEVARD WEST MINNEAPOLIS, MINNESOTA 55432 (952) 830-3300 (Address, including zip code and telephone number, including area code, of principal executive offices) ________________ 12 3/4% SENIOR SUBORDINATED NOTES DUE 2010 (Title of each class of securities covered by this Form) NONE (Title 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)(i) [_] Rule 12g-4(a)(1)(ii) [_] Rule 12h-3(b)(1)(ii) [_] Rule 12g-4(a)(2)(i) [_] Rule 12h-3(b)(2)(i) [_] Rule 12g-4(a)(2)(ii) [_] Rule 12h-3(b)(2)(ii) [_] Rule 15d-6 [_] Approximate number of holders of record as of the certification or notice date: thirteen (13) holders. ================================================================================ Pursuant to the requirements of the Securities Exchange Act of 1934, Jostens, Inc. has caused this certification and notice to be signed on its behalf by the undersigned duly authorized person. October 5, 2004 JOSTENS, INC. By: /s/ David A. Tayeh ------------------------------- Name: David A. Tayeh Title: Chief Financial Officer -----END PRIVACY-ENHANCED MESSAGE-----