-----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, G/ZJTYDe99Khhrqqa38MwHJ9PtHvXLzcyroEGFv/OBuM1ErEq6ARBDWh1+Ughcjf ZP2DT0NnS8QFbEPYGihBQg== 0000950123-03-002468.txt : 20030305 0000950123-03-002468.hdr.sgml : 20030305 20030305145147 ACCESSION NUMBER: 0000950123-03-002468 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030305 EFFECTIVENESS DATE: 20030305 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTH MANAGEMENT SYSTEMS INC CENTRAL INDEX KEY: 0000861179 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 132770433 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-20946 FILM NUMBER: 03593025 BUSINESS ADDRESS: STREET 1: 401 PARK AVE SOUTH CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: 2126854545 MAIL ADDRESS: STREET 1: 401 PARK AVENUE SOUTH CITY: NEW YORK STATE: NY ZIP: 10016 15-12G 1 y84213e15v12g.txt FORM 15 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 SUPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934. Commission File Number 0-20946 Health Management Systems, Inc. (Exact name of registrant as specified in its charter) 401 Park Avenue South, New York, NY 10016 (212)685-4545 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Common stock, $.01 par value per share (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 provisions(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) / / 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: One. On March 3, 2003, Health Management Systems, Inc. ("HMS") completed its reorganization into a holding company structure. On that date, the new holding company, HMS Holdings Corp. ("HMS Holdings"), exchanged its shares of common stock on a share-for-share basis for all of the outstanding common stock of HMS pursuant to an Agreement and Plan of Merger, dated as of December 16, 2002 (the "Merger Agreement"), among HMS, HMS Holdings and HMS Acquisition Corp., a wholly-owned subsidiary of HMS Holdings. HMS is now a wholly-owned subsidiary of HMS Holdings. Pursuant to the requirements of the Securities Exchange Act of 1934, Health Management Systems, Inc., a New York corporation, has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Date: March 5, 2003 HEALTH MANAGEMENT SYSTEMS, INC. By: /s/ Philip Rydzewski -------------------------- Philip Rydzewski Chief Financial Officer -----END PRIVACY-ENHANCED MESSAGE-----