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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 15/A
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 0-19267
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Alkermes, Inc.
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(Exact name of registrant as specified in its charter)
64 Sidney Street
Cambridge, Massachusetts 02139
(617) 494-0171
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Class A 1992 Warrants to purchase 2,800 shares of Common Stock
("Class A 1992 Warrants")
Class A 1995 Warrants to purchase 300 shares of Common Stock
("Class A 1995 Warrants")
Class B 1992 Warrant to purchase 5,600 shares of Common Stock
("Class B 1992 Warrant")
Class B 1995 Warrant to purchase 600 shares of Common Stock
("Class B 1995 Warrant")
Incentive Warrants to purchase 77,100 shares of Common Stock
("Incentive Warrants")
Affiliate Warrants to purchase 13,300 shares of Common Stock
("Affiliate Warrants")
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(Title of each class of securities covered by this Form)
Common Stock
1994 Class A Warrants to purchase shares of Common Stock
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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:
<TABLE>
<S> <C> <C> <C>
Rule 12g-4(a)(1)(i) [_] Rule 12h-3(b)(1)(i) [_]
Rule 12g-4(a)(1)(ii) [X] 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 [_]
</TABLE>
Approximate number of holders of record as of the certification or notice
date:
<TABLE>
<S> <C>
Class A 1992 Warrants: 84
Class A 1995 Warrants: 84
Class B 1992 Warrant: 0
Class B 1995 Warrant: 0
Incentive Warrants: 0
Affiliate Warrants: 0
</TABLE>
Pursuant to the requirements of the Securities Exchange Act of 1934, Alkermes,
Inc. has caused this certification/notice to be signed on its behalf by the
undersigned duly authorized person.
Date: July 10, 1996 By: /s/ Michael J. Landine
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Michael J. Landine
Senior Vice President-Finance
