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 333-58505
AMERICAN NATIONAL BANCORP, INC.
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(Exact name of registrant as specified in its charter)
2200 North Richmond Street, Appleton, WI 54911
(920) 739-1040
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(Address, including zip code, and telephone number,
including area code, of registrant's
principal executive offices)
Common Stock
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(Title of each class of securities covered by this Form)
(None)
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(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) |_| 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: 0 (The registrant will have approximately 209 shareholders upon
consummation of the transaction described in the registrant's Form S-4EF
registration statement.)
Pursuant to the requirements of the Securities Exchange Act of 1934,
American National Bancorp. has caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
DATE: July 3, 1998 BY: /s/ John Knight
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John Knight
Counsel to the Registrant
