-----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, IjY2K7I/V3qI/d36i91KP76/3e5EnHUZxCOchHoWcrw52o6NmPZ14a00xR6KNH3+ HHGx4uz+aD+vZ+Vkvy6sBA== 0000950144-05-000487.txt : 20050124 0000950144-05-000487.hdr.sgml : 20050124 20050124163205 ACCESSION NUMBER: 0000950144-05-000487 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050124 DATE AS OF CHANGE: 20050124 EFFECTIVENESS DATE: 20050124 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SHOLODGE INC CENTRAL INDEX KEY: 0000881924 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 621015641 STATE OF INCORPORATION: TN FISCAL YEAR END: 1227 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-19840 FILM NUMBER: 05544774 BUSINESS ADDRESS: STREET 1: 130 MAPLE DR N CITY: HENDERSONVILLE STATE: TN ZIP: 37075 BUSINESS PHONE: 6152648000 MAIL ADDRESS: STREET 1: 130 MAPLE DRIVE NORTH CITY: HENDERSONVILLE STATE: TN ZIP: 37075 15-12G 1 g92870e15v12g.htm SHOLODGE, INC. ShoLodge, Inc.
 

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 0-19840

ShoLodge, Inc.

(Exact name of registrant as specified in its charter)

130 Maple Drive North, Hendersonville, TN 37075 (615) 264-8000

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Common Stock
Series A Subordinated Preferred Stock Purchase Rights attached to Common Stock
Senior Subordinated Notes

(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)   ý   Rule 12h-3(b)(1)(i)  
ý
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: 90

     Pursuant to the requirements of the Securities Exchange Act of 1934 (Name of registrant as specified in charter) has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

             
Date:   January 24, 2005
  By:  
Bob Marlowe,
Secretary-Treasurer, Chief
Accounting Officer
Chief Financial Officer
           
 

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 with the Commission 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.

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