-----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, KnzytVnvS247k9l1fFKpXMRYZYqFvhVuq81zlfDA4Q3DbPAhiuN7xF+69zzMG8He AmlrIN6SgBAJVfbMzMK8cg== 0000950135-97-005213.txt : 19971230 0000950135-97-005213.hdr.sgml : 19971230 ACCESSION NUMBER: 0000950135-97-005213 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19971229 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: CUMBERLAND FARMS INC CENTRAL INDEX KEY: 0000914761 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 042843586 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 15-15D SEC ACT: SEC FILE NUMBER: 033-95962 FILM NUMBER: 97745332 BUSINESS ADDRESS: STREET 1: 777 DEDHAM ST CITY: CANTON STATE: MA ZIP: 02021 BUSINESS PHONE: 617-828-4900 MAIL ADDRESS: STREET 1: 777 DEDHAM STREET CITY: CANTON STATE: MA ZIP: 02021 15-15D 1 CUMBERLAND FARMS, INC. 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 15 CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 AND SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTION 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934. Commission File Number: 33-95962 CUMBERLAND FARMS, INC. (Exact name of registrants as specified in its charter) 777 Dedham Street Canton, MA 02021 (781) 828-4900 (Address, including zip code, and telephone number, including area code, or registrant's principal executive offices) 10.5% CLASS 11A SECURED NOTES DUE 2003 10.5% CLASS 11F SECURED NOTES DUE 2003 9.75% CLASS 11G SECURED NOTES DUE 2003 (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 and suspend the duty to file reports: Rule 12g-4(a)(1)(i) [ ] Rule 12h-3(b)(1)(i) [X] 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 [X] Approximate number of holders of record as of the certification on notice date: 10.5% Class 11A Secured Notes due 2003 - 39 holders of record 10.5% Class 11F Secured Notes due 2003 - 1 holder of record 9.75% Class 11G Secured Notes due 2003 - 1 holder of record Pursuant to the requirements of the Securities Exchange Act of 1934, Cumberland Farms, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. CUMBERLAND FARMS, INC. Date: December 29, 1997 By: /s/ Lily H. Bentas ----------------------------- Name: Lily H. Bentas Title: President -----END PRIVACY-ENHANCED MESSAGE-----