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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 0-14129
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Independence Bancorp, Inc.
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(Exact name of registrant as specified in its charter)
1100 Lake Street, Ramsey, New Jersey 07446
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, par value $1.6675
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(Title of each class of securities covered by this Form)
None
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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
provisions(s) relied upon to terminated 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:
None
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Pursuant to the requirements of the Securities Exchange Act of 1934,
Independence Bancorp, Inc. has caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
DATE: January 21, 1997 BY: /s/ James R. Napolitano
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James R. Napolitano
Chairman of the Board
