U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SEC File Number
33-16820-D
CUSIP Number
894541-309
NOTIFICATION OF LATE FILING
(Check One)
[ ] Form 10-K [ ] Form 11-K [ ] Form 20-F [x] Form 10Q-SB [ ] Form N-SAR
For Period Ended: 12/31/96
Read Attached Instruction Sheet Before Preparing Form. Please Print or Type.
Nothing in this form shall be be construed to imply that the Commission has
verified any information contained herein.
If the notification relates to a portion of the filing checked above, identify
the Item(s) to which the notification relates: n/a
Part 1 - Registrant Information
Full Name of Registrant: Travis Industries, Inc.
Former Name if Applicable: N/A
Address of Principal Executive Office (Street and Number): 3415 W. Broadway,
City, State and Zip Code: Council Bluffs, Iowa 51501
Part II - Rules 12b-25 (b) and (c)
If the subject report could not be filed without unreasonable effort or expense
and the registrant seeks relief pursuant to Rule 12b-25 (b), the following
should be completed. (Check box if appropriate)
[ ] (a) The reasons described in reasonable detail in Part III of this form
could not be eliminated without unreasonable effort or expense;
[x] (b) The subject annual report or semi-annual report/portion thereof will
be filed on or before the fifteenth calendar day following the prescribed due
date; or the subject quarterly report/portion thereof will be filed on or before
the fifth calendar day following the prescribed due date; and
[ ] (c) The accountant's statement or other exhibit required by Rule 12b-25(c)
has been attached if applicable.
Part III - Narrative
State below in reasonable detail the reasons why the form 10-KSB, 11-K, 20-F,
10-QSB or N-SAR or portion thereof could not be filed within the prescribed time
period.
Registrant has recently emerged from Chapter 11 Bankruptcy and requires
additional time to assemble its fourth quarter information for filing.
Part IV - Other Information
(1) Name and telephone number of person to contact in regard to this
notification: Thomas P. Raabe, Esq. (303) 530-3107.
(2) Have all other periodic reports required under section 13 or 15 (d) of the
Securities Exchange Act of 1934 or section 30 of the Investment Company Act
of 1940 during the preceding 12 months or for such shorter period that the
registrant was required to file such report(s) been filed?
If the answer is no, identify report(s).
[x] Yes [ ] No
(3) Is it anticipated that any significant change in results of operations from
the corresponding period for the last fiscal year will be reflected by the
earnings statements to be included in the subject report or portion thereof?
[ ] Yes [ x ] No
If so, attach an explanation of the anticipated change, both narratively
and quantitatively, and, if appropriate, state the reasons why a reasonable
estimate of the results can not be made.
Travis Industries, Inc.
(Name of Registrant as specified in charter)
has caused this notification to be signed on its behalf by the undersigned
thereunto duly authorized.
Date: February 14, 1997 /s/ Stephen E. Cayou
Stephen E. Cayou, Chairman/President
INSTRUCTION: The form may be signed by an executive officer of the registrant
or by any other duly authorized representative. The name and title of the
person signing the form shall be typed or printed beneath the signature.
If the statement is signed on behalf of the registrant an authorized
representative (other than an executive officer), evidence of the
representative's authority to sign on behalf of the registrant shall be filed
with the form.
ATTENTION
Intentional misstatements or omissions of fact constitute Federal Criminal
Violations (See 18 U.S.C. 1001).
1
