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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 33-65948
ROSEWOOD CARE CENTERS CAPITAL FUNDING CORPORATION
(Exact name of Registrant as specified in its charter)
(See table of Co-Registrants)
11701 BORMAN DRIVE, SUITE 315
ST. LOUIS, MISSOURI 63146
(314) 994-9070
(Address, including zip code, and telephone number, including area code, of
Registrants' principal executive offices)
7 1/4% FIRST MORTGAGE REDEEMABLE BONDS DUE NOVEMBER 1, 2013
(Title of each class of securities covered by this Form 15)
N/A
(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) [ ] 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 12h-3(b)(1)(i) [X] Rule 15d-6 [ ]
Approximate number of holders of record as of the certification or notice
date: 225
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CO-REGISTRANTS
Rosewood Care Center, Inc. of Swansea
Rosewood Care Center, Inc. of Galesburg
Rosewood Care Center, Inc. of East Peoria
Rosewood Care Center, Inc. of Peoria
Rosewood Care Center, Inc. of Alton
Rosewood Care Center, Inc. of Moline
Swansea Real Estate, Inc.
Galesburg Real Estate, Inc.
East Peoria Real Estate, Inc.
Peoria Real Estate, Inc.
Alton Real Estate, Inc.
Moline Real Estate, Inc.
(Exact names of Co-Registrants as specified in their charters)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Rosewood Care Centers Capital Funding Corporation has caused this
certification/notice to be signed on its behalf by the undersigned duly
authorized person.
ROSEWOOD CARE CENTERS CAPITAL
FUNDING CORPORATION, Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Rosewood Care Center, Inc. of Swansea has caused this certification/notice
to be signed on its behalf by the undersigned duly authorized person.
ROSEWOOD CARE CENTER, INC. OF
SWANSEA, Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Rosewood Care Center, Inc. of Galesburg has caused this
certification/notice to be signed on its behalf by the undersigned duly
authorized person.
ROSEWOOD CARE CENTER, INC. OF
GALESBURG, Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Rosewood Care Center, Inc. of Peoria has caused this certification/notice
to be signed on its behalf by the undersigned duly authorized person.
ROSEWOOD CARE CENTER, INC. OF
PEORIA, Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Rosewood Care Center, Inc. of East Peoria has caused this
certification/notice to be signed on its behalf by the undersigned duly
authorized person.
ROSEWOOD CARE CENTER, INC. OF
EAST PEORIA, Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Rosewood Care Center, Inc. of Alton has caused this certification/notice to
be signed on its behalf by the undersigned duly authorized person.
ROSEWOOD CARE CENTER, INC. OF
ALTON, Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Rosewood Care Center, Inc. of Moline has caused this certification/notice
to be signed on its behalf by the undersigned duly authorized person.
ROSEWOOD CARE CENTER, INC. OF
MOLINE, Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Swansea Real Estate, Inc. has caused this report to be signed on its behalf
by the undersigned duly authorized person.
SWANSEA REAL ESTATE, INC., Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Galesburg Real Estate, Inc. has caused this report to be signed on its
behalf by the undersigned duly authorized person.
GALESBURG REAL ESTATE, INC., Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Peoria Real Estate, Inc. has caused this report to be signed on its behalf
by the undersigned duly authorized person.
PEORIA REAL ESTATE, INC., Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
East Peoria Real Estate, Inc. has caused this report to be signed on its
behalf by the undersigned duly authorized person.
EAST PEORIA REAL ESTATE, INC., Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Alton Real Estate, Inc. has caused this report to be signed on its behalf
by the undersigned duly authorized person.
ALTON REAL ESTATE, INC., Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting Officer)
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
Moline Real Estate, Inc. has caused this report to be signed on its behalf
by the undersigned duly authorized person.
MOLINE REAL ESTATE, INC., Registrant
DATE: September 23, 1999 BY:/s/Larry D. Vander Maten
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LARRY D. VANDER MATEN
President and Director
(Principal Executive Officer
and Principal Financial
and Accounting 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.
