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| OMB APPROVAL |
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|OMB NUMBER: 3235-0167|
UNITED STATES |EXPIRES: |
SECURITIES AND EXCHANGE COMMISSION | SEPTEMBER 30, 1998|
Washington, D.C. 20549 |ESTIMATED AVERAGE |
|BURDEN HOURS |
FORM 15 |PER RESPONSE ...1.50 |
|_____________________|
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.
0-24276
Commission File Number _________________
FPA Medical Management Inc.
______________________________________________________________________
(Exact name of registrant as specified in its charter)
5835 Blue Lagoon Dr., Suite 401, Miami, Florida (305) 477-1877
_______________________________________________________________________
(Address, including zip code, and telephone number, including area code
of registrant's principal executive offices)
Common Stock
_______________________________________________________________________
(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 or suspend the duty to file 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 certification or
One
notice date: _________________________________________________________
Pursuant to the requirements of the Securities Exchange Act of 1934
(Name of registrant as specified in charter) FPA Medical Management Inc.
has caused this certification/notice to be signed on its behalf by the
undersigned duly authorized person.
Date: July 8, 1999 By: James A. Lebovitz
_________________________________ ___________________________
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.
