-----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, Bxr7vDABoYE0T75joyZU5E4yGbiaCNZJnstoXm76JyECss5ypqgaSNrhZP4J/SoB mYVFvTJNh1kb/3mL3bn8uQ== 0000931763-97-002180.txt : 19971222 0000931763-97-002180.hdr.sgml : 19971222 ACCESSION NUMBER: 0000931763-97-002180 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19971219 SROS: NYSE FILER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL DATA CORP CENTRAL INDEX KEY: 0000070033 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 580977458 STATE OF INCORPORATION: DE FISCAL YEAR END: 0531 FILING VALUES: FORM TYPE: 15-12G SEC ACT: SEC FILE NUMBER: 000-03966 FILM NUMBER: 97741038 BUSINESS ADDRESS: STREET 1: NATIONAL DATA COPRORATION STREET 2: NATIONAL DATA PLAZA CITY: ATLANTA STATE: GA ZIP: 30329 BUSINESS PHONE: 4047282000 MAIL ADDRESS: STREET 1: NATIONAL DATA PLZ CITY: ATLANTA STATE: GA ZIP: 30329-2010 15-12G 1 FORM 15 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: 000-20603 PHYSICIAN SUPPORT SYSTEMS, INC. ------------------------------------------------------ (Exact name of registrant as specified in its charter) ROUTE 230 AND EBY-CHIQUES ROAD MT. JOY, PENNSYLVANIA 17552 (717) 653-5340 ------------------------------------------------------------------------ (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) COMMON STOCK, $.001 PAR VALUE 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 provisions(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, Physician Support Systems, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. PHYSICIAN SUPPORT SYSTEMS, INC. DATE: December 19, 1997 By: /s/ David S. Geller ------------------------------------ Name: David S. Geller ---------------------------------- Title: Chief Financial Officer --------------------------------- -2- -----END PRIVACY-ENHANCED MESSAGE-----