-----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, Jr9KLIcnOVCKTO7+iJgAzl91J/XUbt2vWKUb9oKvl3iTG6K8lUMMjljnSdrmTDim PbxuqrB3YIW9uhdNu/0ekQ== 0000912057-02-010330.txt : 20020415 0000912057-02-010330.hdr.sgml : 20020415 ACCESSION NUMBER: 0000912057-02-010330 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020318 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PRESERVER GROUP INC CENTRAL INDEX KEY: 0000068480 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 220747730 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-00671 FILM NUMBER: 02577697 BUSINESS ADDRESS: STREET 1: 95 ROUTE 17 SOUTH CITY: PARAMUS STATE: NJ ZIP: 07653 BUSINESS PHONE: 2012912000 MAIL ADDRESS: STREET 1: 95 ROUTE 17 SOUTH CITY: PARAMUS STATE: NJ ZIP: 07653-0931 FORMER COMPANY: FORMER CONFORMED NAME: MOTOR CLUB OF AMERICA DATE OF NAME CHANGE: 19920703 15-12G 1 a2073717z15-12g.txt 15-12G ------------------------------ OMB Approval ------------------------------ OMB Number: 3235-0167 ------------------------------ Expires: October 31, 2004 ------------------------------ Estimated average burden hours per response: 1.5 ------------------------------ 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: 0-671 ----- PRESERVER GROUP, INC. (Exact name of registrant as specified in its charter) 95 Route 17 South Paramus, New Jersey 07653 (201) 291-2000 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) COMMON STOCK, PAR VALUE $.50 PER SHARE (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) [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: 275 PURSUANT TO THE REQUIREMENTS OF THE SECURITIES EXCHANGE ACT OF 1934, PRESERVER GROUP, INC. HAS CAUSED THIS CERTIFICATION/NOTICE TO BE SIGNED ON ITS BEHALF BY THE UNDERSIGNED DULY AUTHORIZED PERSON. DATE: MARCH 18, 2002 BY: /s/ PATRICK J. HAVERON -------------------------------- NAME: PATRICK J. HAVERON TITLE: EXECUTIVE VICE PRESIDENT, CHIEF EXECUTIVE OFFICER AND CFO -----END PRIVACY-ENHANCED MESSAGE-----