-----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, OkHOvkESsTjRrPsr08YYLdUp6ZY8vZIZpir3hsanjwDgylrwOBmfMxyzMKA1tbhr 3Xan4kjtF9UvqBLja4meBQ== 0000878660-98-000001.txt : 19980107 0000878660-98-000001.hdr.sgml : 19980107 ACCESSION NUMBER: 0000878660-98-000001 CONFORMED SUBMISSION TYPE: 15-12B CONFIRMING COPY: PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980106 SROS: NYSE FILER: COMPANY DATA: COMPANY CONFORMED NAME: INTEGON CORP /DE/ CENTRAL INDEX KEY: 0000878660 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 133559471 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12B SEC ACT: SEC FILE NUMBER: 001-10997 FILM NUMBER: 00000000 BUSINESS ADDRESS: STREET 1: 500 W FIFTH ST CITY: WINSTON SALEM STATE: NC ZIP: 27152 BUSINESS PHONE: 9107702000 MAIL ADDRESS: STREET 1: 500 W FIFTH STREET STREET 2: 500 W FIFTH STREET CITY: WINSTON SALEM STATE: NC ZIP: 27152 15-12B 1 CERTIFICATION OF TERMINATION OF REGISTRATION 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 001-10997 Integon Corporation (Exact name of registrant as specified in its charter) 500 West Fifth Street Winston-Salem, North Carolina 27152 (910) 770-2000 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Common Stock $3.875 Convertible Preferred Stock 10 3/4% Capital Securities (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 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 [ ] Rule 12h-3(b)(1)(i) [X] Approximate number of holders of record as of the certification or notice date: Common Stock: One holder. $3.875 Convertible Preferred Stock: No holders. 10 3/4% Capital Securities: No holders. Pursuant to the requirements of the Securities Exchange Act of 1934, Integon Corporation has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Date: January 1, 1998 By: /s/ Sheena E. Poe, Vice President -----END PRIVACY-ENHANCED MESSAGE-----