-----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, D2VzBgUa6cw/Ky1Vy2jxdCArzPz7eHGNCvhrlfqbimaNNJnCOjw3rI56bsDDfFa+ 9b56BFVmIm2hzJDxIdFy7w== 0000950172-99-001653.txt : 19991122 0000950172-99-001653.hdr.sgml : 19991122 ACCESSION NUMBER: 0000950172-99-001653 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19991119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PERCLOSE INC CENTRAL INDEX KEY: 0000934438 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 943154669 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 15-12G SEC ACT: SEC FILE NUMBER: 000-26890 FILM NUMBER: 99761018 BUSINESS ADDRESS: STREET 1: 400 SAGINAW DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063- BUSINESS PHONE: 4154733100 MAIL ADDRESS: STREET 1: 400 SAGINAW DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 15-12G 1 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: 0-26890 PERCLOSE, INC. ------------------------------------------------------------ (Exact name of registrant as specified in its charter) 400 Saginaw Drive Redwood City, California 94063 (650) 474-3000 ------------------------------------------------------------- (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Common Stock, par value $0.001 per share ------------------------------------------------------------- (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) [X] 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: One Pursuant to the requirements of the Securities Exchange Act of 1934, Perclose, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. DATE: November 19, 1999 BY: /s/ Kenneth E. Ludlum --------------------------------------------------- Name: Kenneth E. Ludlum Title: Vice President of Finance and Administration and Chief Financial Officer -----END PRIVACY-ENHANCED MESSAGE-----