-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: keymaster@town.hall.org Originator-Key-Asymmetric: MFkwCgYEVQgBAQICAgADSwAwSAJBALeWW4xDV4i7+b6+UyPn5RtObb1cJ7VkACDq pKb9/DClgTKIm08lCfoilvi9Wl4SODbR1+1waHhiGmeZO8OdgLUCAwEAAQ== MIC-Info: RSA-MD5,RSA, ZsFNhlDWyPFIoKyBIltyHpUkXnh6MjHKSUwMicF3ix+Toho6ifmRLkRS0qYMF+a+ CIHgBqH/aqvB0o6iD/6zgw== 0000070538-95-000014.txt : 199507030000070538-95-000014.hdr.sgml : 19950703 ACCESSION NUMBER: 0000070538-95-000014 CONFORMED SUBMISSION TYPE: NT 11-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19941231 FILED AS OF DATE: 19950630 SROS: NYSE FILER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL SERVICE INDUSTRIES INC CENTRAL INDEX KEY: 0000070538 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC LIGHTING & WIRING EQUIPMENT [3640] IRS NUMBER: 580364900 STATE OF INCORPORATION: DE FISCAL YEAR END: 0831 FILING VALUES: FORM TYPE: NT 11-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-03208 FILM NUMBER: 95551599 BUSINESS ADDRESS: STREET 1: 1420 PEACHTREE ST NE CITY: ATLANTA STATE: GA ZIP: 30309 BUSINESS PHONE: 4048531000 MAIL ADDRESS: STREET 1: 1420 PEACHTREE ST NE CITY: ATLANTA STATE: GA ZIP: 30309 NT 11-K 1 NSI RETIREMENT & 401(K) PLAN United States Securities and Exchange Commission Washington, D.C. 20549 SEC FILE NUMBER 70538 FORM 12b-25 CUSIP NUMBER 657107 NOTIFICATION OF LATE FILING (Check One): [ ]Form 10-K [ ]Form 20-F[ x ]Form 11-K[ ]Form 10-Q[ ]Form N-SAR For Period Ended: December 31, 1994 [ ] Transition Report on Form 10-K [ ] Transition Report on Form 20-F [ ] Transition Report on Form 11-K [ ] Transition Report on Form 10-Q [ ] Transition Report on Form N-SAR For the Transition Period Ended:________________________________________ If the notification relates to a portion of the filing checked above, identify the Item(s) to which the notification relates: _____________________________________________________________________________ PART I - REGISTRANT INFORMATION National Service Industries Retirement and 401(k) Plan _____________________________________________________________________________ Full Name of Registrant National Service Industries, Inc., Plan Admn. _____________________________________________________________________________ 1420 Peachtree Street, N.E. _____________________________________________________________________________ Address of Principal Executive Office (Street and Number) Atlanta, Georgia 30309 _____________________________________________________________________________ City, State and Zip Code PART II - RULES 12b-25(b) AND (c) If the subject report could not be filed without unreasonable effort or expense and the registrant seeks relief pursuant to Rule 12b-25(b), the following should be completed. (Check box if appropriate) (a) The reasons described in reasonable detail in Part III of this form could not be eliminated without unreasonable effort or expense; (b) The subject annual report, semi-annual report, transition report on Form 10-K, Form 20-F, 11-K or Form N-SAR, or portion thereof, will be [x] filed on or before the fifteenth calendar day following the prescribed due date; or the subject quarterly report of transition report on Form 10-Q, or portion thereof will be filed on or before the fifth calendar day following the prescribed due date; and (c) The accountant's statement or other exhibit required by Rule 12b-25(c) has been attached if applicable. PART III - NARRATIVE State below in reasonable detail the reasons why Forms 10-K, 20-F, 11-K, 10-Q, N-SAR, or the transition report or portion thereof, could not be filed within the prescribed time period. Due to a change in recordkeepers, National Service Industries, Inc. is in the process of verifying that balances per the participant detail agree with the balances per the trustee. Upon verification, the audit of the plan by our independent accountants will begin. PART IV - OTHER INFORMATION (1) Name and telephone number of person to contact in regard to this notification Phil Smith (404) 853-1027 __________________________ ______________________ _____________________ (Name) (Area Code) (Telephone Number) (2) Have all other periodic reports required under Section 13 or 15(d) of the Securities Exchange Act of 1934 or Section 30 of the Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required to file such report(s) been filed? If answer is no, identify report(s). [ x ] Yes [ ] No _____________________________________________________________________________ (3) Is it anticipated that any significant change in results of operations from the corresponding period for the last fiscal year will be reflected by the earnings statements to be included in the subject report or portion thereof? [ ] Yes [ x ] No If so, attach an explanation of the anticipated change, both narratively and quantitatively, and, if appropriate, state the reasons why a reasonable estimate of the results cannot be made. _____________________________________________________________________________ National Service Industries, Inc., Plan Admn. ___________________________________________________________________ (Name of Registrant as Specified in Charter) has caused this notification to be signed on its behalf by the undersigned hereunto duly authorized. June 29, 1995 /s/ J. Robert Hipps Date _______________________________ By ______________________________________ J. Robert Hipps Senior Vice President, Finance -----END PRIVACY-ENHANCED MESSAGE-----