-----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, FNr4Si4h8VpvrJJHhivLfu/ZlRltQs2adCpxg7HEufYyyLBuX/rKM0B8VMCHcfR8 1+riogvouhHtfEFh3HDbNw== 0000950152-00-000696.txt : 20000210 0000950152-00-000696.hdr.sgml : 20000210 ACCESSION NUMBER: 0000950152-00-000696 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000209 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DAIRY MART CONVENIENCE STORES INC CENTRAL INDEX KEY: 0000721675 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CONVENIENCE STORES [5412] IRS NUMBER: 042497894 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 15-12G SEC ACT: SEC FILE NUMBER: 000-12497 FILM NUMBER: 527940 BUSINESS ADDRESS: STREET 1: 210 BROADWAY EAST CITY: CUYAHOGA FALLS STATE: OH ZIP: 44222 BUSINESS PHONE: 2037414444 15-12G 1 DAIRY MART CONVENIENCE STORES, INC. 15-12G 1 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. DAIRY MART CONVENIENCE STORES, INC. (Exact name of Registrant as specified in its Charter) Delaware 0-12497 04-2497894 (State or other jurisdiction (Commission (IRS Employer of incorporation) File Number) Identification No.) One Dairy Mart Way, 300 Executive Parkway West, Hudson, Ohio 44236 (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: (330) 342-6600 Class B Common Stock, $0.01 par value per share* (Title of each class of securities covered by this Form) Common Stock, $01 par value* (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)(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) [ ] Approximate number of holders of record as of the certification or notice date: 0 Pursuant to the requirements of the Securities Exchange Act of 1934, Dairy Mart Convenience Stores, Inc. has caused this certification/notice to be signed on its behalf by a duly authorized person. DAIRY MART CONVENIENCE STORES, INC. Date: February 9, 2000 By: /s/ Gregory G. Landry -------------------------------------- Gregory G. Landry, Assistant Secretary *On the open of business on February 9, 2000, the issuer, for state law purposes, reclassified its existing Class A Common Stock, $.01 par value, and its Class B Common Stock, $.01 par value, into a new class of Common Stock, $.01 par value. For purposes of the federal securities acts, the issuer has substituted, by operation of law, the shares of Class A Common Stock for the shares of Class B Common Stock outstanding, eliminated the class of Class B Common Stock and renamed the Class A Common Stock, the Common Stock and made other amendments to terms of the Class A Common Stock. -----END PRIVACY-ENHANCED MESSAGE-----