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FORM 15
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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 SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
Commission File Number 0-18485
Life USA HOLDING, INC.
(Exact name of registrant as specified in its charter)
Suite 95, Interchange North Building
300 South Highway 169
Minneapolis, Minnesota 55426
(612) 546-7386
(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)
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 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:
1
Pursuant to the requirements of the Securities Exchange Act of
1934, Life USA Holding, Inc. has caused this certification/notice to be
signed on its behalf by the undersigned duly authorized person.
Date: October 1, 1999 By: /s/ Mark A. Zesbaugh
--------------------------------
Mark A. Zesbaugh
Executive Vice President
Chief Financial Officer
