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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 15
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CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER
SECTION 12(g) OF THE SECURITIES AND 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 0-26022
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SERENGETI EYEWEAR, INC.
(Exact name of registrant as specified in its charter)
8125 25TH COURT EAST, SARASOTA, FL 34243, (941) 359-3599
(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
COMMON STOCK, PAR VALUE $0.001 PER SHARE
(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 section 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: 1
Pursuant to the requirements of the Securities Exchange Act of 1934
SERENGETI EYEWEAR, INC.
has caused this certification/notice to be signed on its behalf by the
undersigned duly authorized person.
Date: August 17, 2000 By: /s/ B. Joseph Messner
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Name: B. Joseph Messner
Title: President and CEO
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.
