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 0-14049
OCCUPATIONAL MEDICAL CORPORATION OF AMERICA, INC.
(Exact name of registrant as specified in its charter)
9811 Bigge Avenue, Oakland, California 94603
(510) 639-2100
(Address, including zip code, and telephone number, including
area code, of registrant's principal executive offices)
Common Stock, No Par Value
(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 boxes 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) [X] 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 15-6 [ ]
Rule 12h-3(b)(1)(i) [ ]
Approximate number of holders of record as of the
certification notice date: 128
Pursuant to the requirements of the Securities Exchange Act of
1934 Occupational Medical Corporation of America, Inc., has
caused this certification to be signed on its behalf by the
undersigned duly authorized person.
By: /s/ Don R. Livingston
Don R. Livingston
Chief Executive Officer and
President
