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: 0-26832
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Lumisys Incorporated
(Exact name of registrant as specified in its charter)
225 Humboldt Avenue
Sunnyvale, California 94089
(408)733-6565
(Address, including zip code, and telephone
number, including area code, of
registrant's principal executive
offices)
Common Stock, par value $.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
provisions relied upon to terminate or
suspend the
duty to file report:
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) ( )
Appropriate number of holders of record as of the
certification or notice date: 1
Pursuant to the requirements of the Securities Exchange Act of 1934,
Lumisys Incorporated has caused this certification/notice to be signed on its
behalf by the undersigned duly authorized person. LUMISYS INCORPORATED
Date: January 8, 2001 By: /s/ Kenneth A. Doolittle
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Kenneth A. Doolittle,
President
