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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: 0-14553
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F&M BANCORPORATION, INC.
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(Exact name of registrant as specified in its charter)
One Bank Avenue
Kaukauna, Wisconsin 54130
(920) 766-1717
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, par value $1.00 per share
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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 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) [ ] Rule 15d-6 [ ]
Approximate number of holders of record as of the certification or notice date:
Common Stock, par value $1.00 per share: 1
Pursuant to requirements of the Securities Exchange Act of 1934, F&M
Bancorporation has caused this certification/notice to be signed by the
undersigned duly authorized person.
November 1, 1999 BY: /s/ THOMAS W. GALLAGHER
Thomas W. Gallagher
Secretary
