SECURITIES AND EXCHANGE COMMISSION
Washington, DC 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: 333-43652
SIMMONS MEDIA GROUP, INC.
(Exact name of registrant as specified in its charter)
515 South 700 East
Salt Lake City, Utah 84102
(Address, including zip code, of registrant's principal executive offices)
Common Stock, no par value
(Title of each class of securities covered by this Form)
None
(Title 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 boxes to designate the appropriate rule provisions
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) ( )
Approximate number of holders of record as of the certification or notice date:
17
<PAGE>
Pursuant to the requirements of the Securities Exchange Act of 1934,
SIMMONS MEDIA GROUP, INC. has caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
Date: December 18, 2000 By: /s/ David E. Simmons
-----------------------------
Name: David E. Simmons
Title: President and Chief
Executive Officer
-2-