-----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, CUsNdb+5l/Hui+hP/a3sb1E/uGD3Ke8LJ2nhqZ6ZSuqklSrF+TTbpBnT+vtv+cR4 6F+AAYsDqVfNO3HK5hrLxw== 0000950144-03-007726.txt : 20030613 0000950144-03-007726.hdr.sgml : 20030613 20030613153457 ACCESSION NUMBER: 0000950144-03-007726 CONFORMED SUBMISSION TYPE: 15-12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030613 EFFECTIVENESS DATE: 20030613 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL SERVICE INDUSTRIES INC CENTRAL INDEX KEY: 0000070538 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 580364900 STATE OF INCORPORATION: DE FISCAL YEAR END: 0831 FILING VALUES: FORM TYPE: 15-12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-03208 FILM NUMBER: 03743770 BUSINESS ADDRESS: STREET 1: 1420 PEACHTREE ST NE CITY: ATLANTA STATE: GA ZIP: 30309-3002 BUSINESS PHONE: 4048531000 MAIL ADDRESS: STREET 1: 1420 PEACHTREE ST NE CITY: ATLANTA STATE: GA ZIP: 30309 15-12B 1 g83368e15v12b.txt NATIONAL SERVICE INDUSTRIES, INC. 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: 1-03208 NATIONAL SERVICE INDUSTRIES, INC. --------------------------------- (Exact name of registrant as specified in its charter) 1420 Peachtree Street, N.E. Atlanta, Georgia 30309-3002 (404) 853-1000 -------------------------- (Address, including zip code, and telephone number, including area code of registrant's principal executive offices) Common Stock, par value $1.00 per share (including the associated Preferred Stock Purchase Rights) --------------------------------------------------------- (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)(i) (X) 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: 2 Pursuant to the requirements of the Securities Exchange Act of 1934, National Service Industries, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Date: June 13, 2003. By: /s/ Carol Ellis Morgan ----------------------------------------- Carol Ellis Morgan President and General Counsel -----END PRIVACY-ENHANCED MESSAGE-----