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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 12 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
Commission File Number: 0-22314
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PENEDERM INCORPORATED
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(Exact name of registrant as specified in its charter)
320 Lakeside Drive, Foster City, California 94404 (650) 358-0100
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, $.01 par value
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(Title of each class of securities covered by this Form)
None
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(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 12g4-(a)(1)(i) [X] Rule 12h 3(b)(1)(i) [X]
Rule 12g4-(a)(1)(ii) [_] Rule 12h 3(b)(1)(ii) [_]
Rule 12g4-(a)(2)(i) [_] Rule 12h 3(b)(2)(i) [_]
Rule 12g4-(a)(2)(i) [_] Rule 12h 3(b)(2)(ii) [_]
Rule 15d-6 [_]
Approximate number of holders of record as of the certification or
notice date: 1
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Pursuant to the requirements of the Securities Exchange Act of 1934, Penederm
Incorporated has caused this certification/notice to be signed on its behalf by
the undersigned duly authorized person.
Date: October 2, 1998
By: /s/ Michael A. Bates
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Name: Michael A. Bates
Vice President - Finance
and Administration
