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UNITED STATES
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 SECTION 13 AND 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission file number 000-28183
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QUILCHENA RESOURCES, INC.
(Exact name of registrant as specified in its charter)
#3400 - 666 BURRARD STREET
VANCOUVER, BRITISH COLUMBIA, CANADA V6C 3M7
(604) 688-3929
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(Address and telephone number of principal executive offices)
COMMON SHARES, PAR VALUE $0.001
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(Title of each class of securities covered by this Form)
NOT APPLICABLE
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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:
[X] Rule 12g-4(a)(1)(i) [ ] Rule 12h-3(b)(1)(i)
[ ] 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
Approximate number of holders of record as of the certification or
notice date: 22
Pursuant to the requirements of the Securities Exchange Act of 1934, Quilchena
Resources, Inc. has caused this certification/notice to be signed on its behalf
by the undersigned duly authorized person.
Date: November 22, 2000 By: /s/ Derek Herman
Derek Herman, President/Director
