-----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, ApxpuRl2c4BtFX8XLRfWCuybriaLIsy7Bh+js0Dub3gjIrn0RLUiquy1zZm1iF6M wLvpGEvkrnyarbgG5Gog5A== 0000914039-99-000331.txt : 19990720 0000914039-99-000331.hdr.sgml : 19990720 ACCESSION NUMBER: 0000914039-99-000331 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990719 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EXECUTIVE RISK INC /DE/ CENTRAL INDEX KEY: 0000914069 STANDARD INDUSTRIAL CLASSIFICATION: SURETY INSURANCE [6351] IRS NUMBER: 061388171 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-78414 FILM NUMBER: 99666563 BUSINESS ADDRESS: STREET 1: 82 HOPMEADOW ST CITY: SIMSBURY STATE: CT ZIP: 06070 BUSINESS PHONE: 8604082000 MAIL ADDRESS: STREET 1: 82 HOPMEADOW ST CITY: SIMSBURY STATE: CT ZIP: 06070-7683 15-15D 1 FORM 15 1 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 SECTION 13 AND 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 Commission File Number: 1-12800 EXECUTIVE RISK INC. (Exact name of Registrant as specified in its charter) 82 HOPMEADOW STREET, SIMSBURY, CONNECTICUT 06070 860/408-2000 (Address, including zip code, and telephone number, including area code, of Registrant's principal executive offices) COMMON STOCK, $ .01 PAR VALUE AND ASSOCIATED COMMON STOCK PURCHASE RIGHTS, PAR VALUE $.01 PER SHARE (Title of each class of securities covered by this Form) N/A (Title 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 provisions(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 date or notice date: ONE (1) Pursuant to the requirements of the Securities Exchange Act of 1934, Executive Risk Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. DATE: July 19, 1999 BY: /s/ Stephen J. Sills ---------------- Name: Stephen J. Sills Title: President and Chief Executive Officer -----END PRIVACY-ENHANCED MESSAGE-----