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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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FORM 15
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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: 0-21330
AVECOR CARDIOVASCULAR INC.
(Exact name of registrant as specified in its charter)
7611 Northland Drive
Minneapolis, Minnesota 55428
(612) 391-9000
(Address, including zip code, and telephone number, including area code,
of registrant's principal executive offices)
COMMON STOCK, $.01 PAR VALUE
PREFERRED STOCK PURCHASE RIGHTS
(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)(ii) / /
Rule 12g-4(a)(1)(ii) / / Rule 12h-3(b)(2)(i) / /
Rule 12g-4(a)(2)(i) / / Rule 12h-3(b)(2)(ii) / /
Rule 12g-4(a)(2)(ii) / / Rule 15d-6 / /
Rule 12h-3(b)(1)(i) / /
Approximate number of holders of record as of the certification or notice
date:
ONE (1) holder of record of the Common Stock
ONE (1) holder of record of the Preferred Stock Purchase Rights
Pursuant to the requirements of the Securities Exchange Act of 1934, AVECOR
Cardiovascular Inc. has caused this certification/notice to be signed on its
behalf by the undersigned duly authorized person.
Date: March 8, 1999 AVECOR CARDIOVASCULAR INC.
By: /s/ Gregory J. Melsen
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Gregory J. Melsen
Vice President - Finance, Treasurer
and Chief Financial Officer
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INSTRUCTIONS: 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. The
registrant shall file with the Commission three copies of Form 15, one of which
shall be manually signed. 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.
