-----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, C8ZJq44AgGvryQLYAkYTOTmEX5EYfrtaHHDhc/Vr3wk3x/1b642O8jcjojNDHC9A A6CkWsqsE5PWHmT4lFeIzg== 0000950116-03-002552.txt : 20030512 0000950116-03-002552.hdr.sgml : 20030512 20030512132612 ACCESSION NUMBER: 0000950116-03-002552 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030512 EFFECTIVENESS DATE: 20030512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: GENESIS HEALTH VENTURES INC /PA CENTRAL INDEX KEY: 0000874265 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 061132947 STATE OF INCORPORATION: PA FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-33217 FILM NUMBER: 03692269 BUSINESS ADDRESS: STREET 1: 101 EAST STATE STREET CITY: KENNETT SQUARE STATE: PA ZIP: 19348 BUSINESS PHONE: 6104446350 MAIL ADDRESS: STREET 1: 101 EAST STATE STREET CITY: KENNETT SQUARE STATE: PA ZIP: 19348 15-12G 1 fifteen12g.txt 15-12G SEC 2069 Potential persons who are to respond to the collections of (11-01) information contained in this form are not required to respond Previous unless the form displays a currently valid OMB control number. versions obsolete ------------------------- OMB APPROVAL ------------------------- OMB Number: 3235-0167 Expires: October 31, 2004 Estimated average burden hours per response: 1.5 ------------------------- 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: 000-33217 --------- Genesis Health Ventures, Inc. ------------------------------------------------------ (Exact name of registrant as specified in its charter) 101 East State Street Kennett Square, Pennsylvania 19348 (610) 444-6350 ------------------------------------------------------------------------ (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Warrants to purchase Common Stock, par value $.02 per share, exercisable until October 2, 2002(1) (2) ------------------------------------------------------------ (Title of each class of securities covered by this Form) Common Stock, par value $.02 per share(2) ----------------------------------------------------------- (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) [ ] 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: Zero Pursuant to the requirements of the Securities Exchange Act of 1934, Genesis Health Ventures, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Genesis Health Ventures, Inc. By: George V. Hager, Jr. ------------------------------------- Name: George V. Hager, Jr. Title: Executive Vice President and Chief Financial Officer Date: May 9, 2003 (1) On October 2, 2002, these warrants expired. (2) A Registration Statement on Form 8-A was filed with the SEC on October 2, 2001 related to these securities. Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 of the General Rules and Regulations under the Securities Exchange Act of 1934. The registrant shall file three copies of Form 15, one of which shall be manually signed. It may be signed by an officer of the registrant, by counsel or by any other duly authorized person. The name and title of the person signing the form shall be typed or printed under the signature. -----END PRIVACY-ENHANCED MESSAGE-----