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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 15
CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF
THE SECURITIES EXCHANGE ACT OF 1934 AND SUSPENSION OF DUTY TO FILE REPORTS UNDER
SECTION 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
Commission File Number: 33-95962
CUMBERLAND FARMS, INC.
(Exact name of registrants as specified in its charter)
777 Dedham Street
Canton, MA 02021
(781) 828-4900
(Address, including zip code, and telephone number, including area code, or
registrant's principal executive offices)
10.5% CLASS 11A SECURED NOTES DUE 2003
10.5% CLASS 11F SECURED NOTES DUE 2003
9.75% CLASS 11G SECURED NOTES DUE 2003
(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 and suspend the duty to file reports:
Rule 12g-4(a)(1)(i) [ ] 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 [X]
Approximate number of holders of record as of the certification on
notice date:
10.5% Class 11A Secured Notes due 2003 - 39 holders of record
10.5% Class 11F Secured Notes due 2003 - 1 holder of record
9.75% Class 11G Secured Notes due 2003 - 1 holder of record
Pursuant to the requirements of the Securities Exchange Act of 1934,
Cumberland Farms, Inc. has caused this certification/notice to be signed on its
behalf by the undersigned duly authorized person.
CUMBERLAND FARMS, INC.
Date: December 29, 1997 By: /s/ Lily H. Bentas
-----------------------------
Name: Lily H. Bentas
Title: President
