SECURITIES AND EXCHANGE COMMISSION
450 Fifth Street, N.W.
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 of File Reports Under Sections 13 and 15(d)
of the Securities Exchange Act of 1934.
Commission File No. 0-23569
Headlands Mortgage Company
(Exact name of registrant as specified in its charter)
1100 Larkspur Landing Circle
Suite 101
Larkspur, California 94939
(415) 461-6790
(Address, including zip code, and telephone
number, including area code, of registrant's
principal executive offices)
Common Stock, without par value
- - ------------------------------------------------------------------------------
(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 certificate or notice
date: One*
* GreenPoint Financial Corp., a Delaware corporation ("GreenPoint"), is the sole
holder of record of the common stock listed above as of the date hereof pursuant
to the merger of GF Acquisition Corp., a Delaware corporation and a wholly owned
subsidiary of GreenPoint, with and into Headlands Mortgage Company, which was
consummated on March 30, 1999.
<PAGE>
Pursuant to the requirements of the Securities Exchange Act of 1934, Headlands
Mortgage Company, a California corporation, has caused this certification/notice
to be signed on its behalf by the undersigned duly authorized person.
Date: March 31, 1999 By: /s/ Gilbert J. MacQuarrie
Name: Gilbert J. MacQuarrie
Title: Executive Vice President
and Chief Financial
Officer
