0000070684-15-000035.txt : 20151002 0000070684-15-000035.hdr.sgml : 20151002 20151002113641 ACCESSION NUMBER: 0000070684-15-000035 CONFORMED SUBMISSION TYPE: 15-12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20151002 DATE AS OF CHANGE: 20151002 EFFECTIVENESS DATE: 20151002 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL WESTERN LIFE INSURANCE CO CENTRAL INDEX KEY: 0000070684 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 840467208 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-34411 FILM NUMBER: 151139061 BUSINESS ADDRESS: STREET 1: 850 E. ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752-1602 BUSINESS PHONE: 5128361010 MAIL ADDRESS: STREET 1: 850 E. ANDERSON LANE CITY: AUSTIN STATE: TX ZIP: 78752-1602 15-12B 1 form1515-12b.htm 15-12B 15-12B


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: 001-34411

National Western Life Insurance Company
(Exact name of registrant as specified in its charter)
 
 850 East Anderson Lane
Austin, Texas, 78752-1602
(512) 836-1010
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
 
Class A Common Stock, $1.00 par value per share
(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)
    
x 
 
 
 
Rule 12g-4(a)(2)
    
o
 
 
 
Rule 12h-3(b)(1)(i)
    
x 
 
 
 
Rule 12h-3(b)(1)(ii)
    
o
 
 
 
Rule 15d-6
    
o

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, National Western Life Insurance Company has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
 

 
NATIONAL WESTERN LIFE INSURANCE COMPANY
 
 
 
 Date: October 2, 2015  
By:
/s/ Brian M. Pribyl
 
Brian M. Pribyl, Senior Vice President,
 
 
Chief Financial Officer and Treasurer