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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: 1-11819
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HAYWOOD BANCSHARES, INC.
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(Exact name of registrant as specified in its charter)
370 North Main Street, Waynesville, North Carolina, 28786 (828) 456-9092
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, $1.00 par value per share
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(Title of each class of securities covered by this Form)
None
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(Title 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) [_]
Approximate number of holders of record as of the certification or notice
date: one
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Pursuant to the requirements of the Securities Exchange Act of 1934,
Haywood Bancshares, Inc. has caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
Date: February 22, 2000 By: /s/ Larry R. Ammons
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Name: Larry R. Ammons
Title: President and Chief Executive
Officer
