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 0-26204
MEDTRONIC INSTENT, INC. (formerly known as INSTENT INC.)
(Exact name of registrant as specified in charter)
6271 Bury Drive
Eden Prairie, Minnesota 55346
(612) 937-0322
(Address, including zip code, and telephone number,
including area code, of registrant's principal executive officers)
Common Stock, Par Value $.01 Per Share (1)
(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)
(1) Effective June 28, 1996, each share of the Registrant's Common Stock then
outstanding was canceled and converted into the right to receive 0.3833 of a
share of common stock, par value $.10 per share of Medtronic, Inc. (Commission
File No. 1-7707) pursuant to the terms of the Agreement and Plan of
Reorganization dated March 22, 1996, among Medtronic, Inc., BYR Acquisition
Corp. and the Registrant. The Registrant is now a wholly-owned subsidiary of
Medtronic, Inc.
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:
1
Pursuant to the requirements of the Securities Exchange Act of 1934, MEDTRONIC
INSTENT, INC. has caused this certification/notice to be signed on its behalf by
the undersigned duly authorized person.
DATE: July 12, 1996 MEDTRONIC INSTENT, INC.
By /s/ Sven Wehrwein
Sven Wehrwein
Chief Financial Officer
