-----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, P7Dqeap4XiOIjy3FS2hTk5fs71jVygZerFw0HcwGuYJOVX2mgZc0cv1ahA5aXhdm zMW3o8GDA8FaZA72+Dkq6g== 0001068800-99-000389.txt : 19990924 0001068800-99-000389.hdr.sgml : 19990924 ACCESSION NUMBER: 0001068800-99-000389 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990923 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROSEWOOD CARE CENTERS CAPITAL FUNDING CORP CENTRAL INDEX KEY: 0000909110 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431623171 STATE OF INCORPORATION: MO FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948 FILM NUMBER: 99715458 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE, SUITE 315 STREET 2: STE 113 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3145760050 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROSEWOOD CARE CENTER INC OF SWANSEA CENTRAL INDEX KEY: 0000909113 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431375489 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-01 FILM NUMBER: 99715459 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: SUITE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROSEWOOD CARE CENTER INC OF GALESBURG CENTRAL INDEX KEY: 0000909114 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431375391 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-02 FILM NUMBER: 99715460 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: SUITE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROSEWOOD CARE CENTER INC OF EAST PEORIA CENTRAL INDEX KEY: 0000909115 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431446788 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-03 FILM NUMBER: 99715461 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DR STREET 2: SUITE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROSEWOOD CARE CENTER INC OF PEORIA CENTRAL INDEX KEY: 0000909116 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431446786 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-04 FILM NUMBER: 99715462 BUSINESS ADDRESS: STREET 1: 11701 BOWMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BOWMAN DRIVE STREET 2: SUITE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROSEWOOD CARE CENTER INC OF ALTON CENTRAL INDEX KEY: 0000909117 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431446787 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-05 FILM NUMBER: 99715463 BUSINESS ADDRESS: STREET 1: 11701 BOWMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DR CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROSEWOOD CARE CENTER INC OF MOLINE CENTRAL INDEX KEY: 0000909118 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431453169 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-06 FILM NUMBER: 99715464 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: SUITE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SWANSEA REAL ESTATE INC CENTRAL INDEX KEY: 0000909120 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431446792 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-07 FILM NUMBER: 99715465 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: SUITE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: GALESBURG REAL ESTATE INC CENTRAL INDEX KEY: 0000909121 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431453172 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-08 FILM NUMBER: 99715466 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: SUITE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EAST PEORIA REAL ESTATE INC CENTRAL INDEX KEY: 0000909122 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431453171 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-09 FILM NUMBER: 99715467 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DRIVE CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PEORIA REAL ESTATE INC CENTRAL INDEX KEY: 0000909123 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431446790 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-10 FILM NUMBER: 99715468 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: SUITE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ALTON REAL ESTATE INC CENTRAL INDEX KEY: 0000909124 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431476931 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-11 FILM NUMBER: 99715469 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: SUITE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MOLINE REAL ESTATE INC CENTRAL INDEX KEY: 0000909125 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431453170 STATE OF INCORPORATION: IL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-65948-12 FILM NUMBER: 99715470 BUSINESS ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: STE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 BUSINESS PHONE: 3149949070 MAIL ADDRESS: STREET 1: 11701 BORMAN DRIVE STREET 2: SUTIE 315 CITY: ST LOUIS STATE: MO ZIP: 63146 15-15D 1 ROSEWOOD CARE CENTERS CAPITAL FUNDING CORP. FORM 15 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 33-65948 ROSEWOOD CARE CENTERS CAPITAL FUNDING CORPORATION (Exact name of Registrant as specified in its charter) (See table of Co-Registrants) 11701 BORMAN DRIVE, SUITE 315 ST. LOUIS, MISSOURI 63146 (314) 994-9070 (Address, including zip code, and telephone number, including area code, of Registrants' principal executive offices) 7 1/4% FIRST MORTGAGE REDEEMABLE BONDS DUE NOVEMBER 1, 2013 (Title of each class of securities covered by this Form 15) N/A (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 12h-3(b)(1)(i) [X] Rule 15d-6 [ ] Approximate number of holders of record as of the certification or notice date: 225 CO-REGISTRANTS Rosewood Care Center, Inc. of Swansea Rosewood Care Center, Inc. of Galesburg Rosewood Care Center, Inc. of East Peoria Rosewood Care Center, Inc. of Peoria Rosewood Care Center, Inc. of Alton Rosewood Care Center, Inc. of Moline Swansea Real Estate, Inc. Galesburg Real Estate, Inc. East Peoria Real Estate, Inc. Peoria Real Estate, Inc. Alton Real Estate, Inc. Moline Real Estate, Inc. (Exact names of Co-Registrants as specified in their charters) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Centers Capital Funding Corporation has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTERS CAPITAL FUNDING CORPORATION, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Swansea has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF SWANSEA, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Galesburg has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF GALESBURG, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Peoria has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF PEORIA, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of East Peoria has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF EAST PEORIA, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Alton has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF ALTON, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Moline has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF MOLINE, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Swansea Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. SWANSEA REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Galesburg Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. GALESBURG REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Peoria Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. PEORIA REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, East Peoria Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. EAST PEORIA REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Alton Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. ALTON REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Moline Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. MOLINE REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting 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. -----END PRIVACY-ENHANCED MESSAGE-----