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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 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
Commission File Number 0-28438
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Microsurge, Inc.
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(Exact name of registrant as specified in its charter)
150 A Street, Needham, MA 02194, (617) 444-2300
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock
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(Title of each class of securities covered by this Form)
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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 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 cerification or notice date:56
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Pursuant to the requirements of the Securities Exchange Act of 1934 Microsurge,
Inc. has caused this certification/notice to be signed on its behalf by the
undersigned duly authorized person.
Date: August 2, 1996 By: /s/ Kathleen Barry
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Chief Financial Officer
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. This registrant shall
file with the Commission three copies on Form 15, one of which will 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.
