SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.
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 0-23620
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Mid Continent Bancshares, Inc.
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(Exact name of registrant as specified in its charter)
124 West Central, El Dorado, Kansas 67042 (316-321-2700)
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(Address, including zip code, and telephone number, including area code,
of registrant's principal executive offices)
Common Stock, $0.10 par value per
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share (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: 0
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Pursuant to the requirements of the Securities Exchange Act of 1934 Mid
Continent Bancshares, Inc. has caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
Date: February 27, 1998 By: /s/Richard T. Pottorff
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Richard T. Pottorff, President
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 Securities and Exchange 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.
