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 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
Commission File Number 005-37226
POLK AUDIO, INC.
(Exact name of registrant as specified in its charter)
5601 Metro Drive, Baltimore, Maryland 21215; (410) 358-3600
(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, par value $.01 per share
(Title of each class of securities covered by this Form)
(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 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) [_]
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:
83
Pursuant to the requirements of the Securities Exchange Act of 1934 Polk Audio,
Inc. has caused this certification/notice to be signed on its behalf by the
undersigned duly authorized person.
Date: June 7, 1999 By: /s/ Gary B. Davis
--------------------- --------------------------------------------
Gary B. Davis, Chief Financial 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. 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.
