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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 SECTIONS 13(a) AND 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
Commission file number 1-5064
Jostens, Inc.
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(Exact name of Registrant as specified in its charter)
5501 Norman Center Drive, Minneapolis, Minnesota 55437
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(Address of principal executive offices) (Zip code)
Registrant's telephone number, including area code: (952) 830-3300
Title of each class of securities covered by this Form:
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Common Stock, par value $0.33 1/3 per share
Preferred Stock Purchase Rights
Title of all other classes of securities for which a duty to file reports under
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section 13(a) or 15(d) remains:
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None
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: 200
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Pursuant to the requirements of the Securities Exchange Act of 1934, Jostens,
Inc. has caused this certification/notice to be signed on its behalf by the
undersigned duly authorized person.
Date: May 22, 2000 By /s/ William N. Priesmeyer
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William N. Priesmeyer
Senior Vice President and Chief
Financial Officer
(Chief Accounting Officer)
Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 of the
General Rules and Regulations under the Securities Exchange Act of 1934. The
registrant shall file with the Commission three copies of Form 15, one of which
shall be manually signed. It may be signed by an officer of the registrant, by
counsel or by any other duly authorized person. The name and title of the person
signing the form shall be typed or printed under the signature.
