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 13 and 15(d) of the
Securities Exchange Act of 1934.
Commission File Number 0-20086
Universal Hospital Services, Inc.
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(Exact name of registrant as specified in its charter)
1250 Northland Plaza, 3800 West 80th Street
Bloomington, Minnesota 55431-4442
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(Address, including zip code, and telephone number, including
area code of registrant's principal executive offices)
Common Share, par value $.01 per share
Preferred Share Purchase Rights
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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 12g-4(a)(1)(i) (X) Rule 12h-3(b)(1)(i) (X)
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:
47
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Pursuant to the requirements of the Securities Exchange Act of
1934 Universal Hospital Services, Inc. has caused this certification/notice
to be signed on its behalf by the undersigned duly authorized person.
Date: February 25, 1998 By: /s/ David E. Dovenberg
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Name: David E. Dovenberg
Title: Chief Executive Officer
Instruction: 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.
