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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 000-07093
MOD-U-KRAF HOMES, INC.
(Exact name of registrant as specified in its charter)
822 Pell Avenue
P.O. Box 573
Rocky Mount, Virginia 24151
(540) 483-0291
(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
COMMON STOCK, $1.00 PAR VALUE
(Title of each class of securities covered by this Form)
NONE
(Title of all other classes 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 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)(ii) [ ]
Rule 12g-4(a)(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 12h-3(b)(1)(i) [x] Rule 15d-6 [ ]
Approximate number of holders of record as of the certification or notice date:
ONE FOLLOWING THE EFFECTIVE TIME OF THE REGISTRANT'S ACQUISITION BY COACHMEN
INDUSTRIES, INC. PURSUANT TO THE MERGER OF COACHMEN ACQUISITION CORPORATION, A
WHOLLY-OWNED SUBSIDIARY OF COACHMEN INDUSTRIES, INC., WITH AND INTO REGISTRANT.
Pursuant to the requirements of the Securities Exchange Act of 1934,
the Registrant has caused this certification/notice to be signed on its behalf
by the undersigned duly authorized person.
Date: August 10, 2000 BY: /S/ DALE H. POWELL
TITLE: PRESIDENT
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.
