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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 15
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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: 005-35304
Collagen Aesthetics, Inc.
(Exact name of registrant as specified in its charter)
1850 Embarcadero Road
Palo Alto, California 94303
(650) 856-0200
(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, $.01 par value
Preferred Shares Purchase Rights
(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)(i) [x]
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: One
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Pursuant to the requirements of the Securities Exchange Act of 1934,
Collagen Aesthetics, Inc. has caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
COLLAGEN AESTHETICS, INC.
By: /s/ Ilan K. Reich
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Name: Ilan K. Reich
Title: President
DATE: September 1, 1999
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