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 1-13604
OLD STAT, INC. (FORMERLY STAT HEALTHCARE, INC.)
(Exact name of registrant as specified in its charter)
12450 GREENSPOINT DRIVE, SUITE 1200, HOUSTON, TEXAS 77060
(Address, including zip code, and telephone number, including area
code, of registrant's principal executive offices)
COMMON STOCK, PAR VALUE $0.01 PER SHARE
CLASS A REDEEMABLE COMMON STOCK PURCHASE WARRANTS
(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)(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 15d-6 [ ]
Rule 12h-3(b)(1)(i) [X]
Approximate number of holders of record as of the certification or
notice date:
ONE
Page 1 of 2
<PAGE>
Pursuant to the requirements of the Securities Exchange Act of 1934, Old
STAT, Inc. has caused this certification/notice to be signed on its behalf by
the undersigned duly authorized person.
Old STAT, Inc. (formerly STAT Healthcare, Inc.)
Date: June 25, 1996 By: /s/ NED E. CHAPMAN
Ned E. Chapman
Chief Financial Officer
Page 2 of 2