-----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, VKeNV2/mct9r6NGefuZPoGENxZnol0+JE+n6SX85cRPjuP0btAaF0Kr5fgp+MMN0 fi44kQnJOVqTSQT/PZyFOA== 0000927946-01-500050.txt : 20010702 0000927946-01-500050.hdr.sgml : 20010702 ACCESSION NUMBER: 0000927946-01-500050 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: GERMAN AMERICAN BANCORP CENTRAL INDEX KEY: 0000714395 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351547518 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 002-81582 FILM NUMBER: 1672872 BUSINESS ADDRESS: STREET 1: 711 MAIN ST STREET 2: P O BOX 810 CITY: JASPER STATE: IN ZIP: 47546 BUSINESS PHONE: 8124821314 MAIL ADDRESS: STREET 1: 711 MAIN STREET CITY: JASPER STATE: IN ZIP: 47546 FORMER COMPANY: FORMER CONFORMED NAME: GAB BANCORP DATE OF NAME CHANGE: 19950510 15-15D 1 form15.txt 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: 333-81837 The Doty Agency, Inc. 401(k) Plan (Exact name of registrant as specified in its charter) German American Bank, Trustee 711 Main Street, Box 810 Jasper, Indiana 47546-3042 812-482-1314 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Common shares, German American Bancorp, no par value (Title of each class of securities covered by the 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)(i) [ ] 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 [ X ] Rule 12h-3(b)(1)(i) [ ] Approximate number of holders of record as of the certification or notice date: one. This form is filed to report the suspension of the registrant's duty to file reports as a result of the merger of the registrant into the German American Bancorp Employees' Profit Sharing Plan effective June 1, 2001. Pursuant to the requirements of the Securities Exchange Act of 1934, the German American Bancorp Employees' Profit Sharing Plan, as successor by merger to The Doty Agency, Inc. 401(k) Plan, has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. THE GERMAN AMERICAN BANCORP EMPLOYEES' PROFIT SHARING PLAN GERMAN AMERICAN BANK, TRUSTEE By: /s/ Bonnie S. Hochgesang ------------------------------------------- Bonnie S. Hochgesang, AVP & T.O. Date: June 26, 2001 -----END PRIVACY-ENHANCED MESSAGE-----