UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
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 | 333-57279 | |||
Skilled Healthcare Group, Inc.
(Exact name of registrant as specified in its charter)
27442 Portola Parkway, Suite 200, Foothill Ranch, CA 92610, (949) 282-5800
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
11 1/4% Senior Subordinated Notes due 2008, Series B
Guarantees of 11 1/4% Senior Subordinated Notes due 2008, Series B
(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 l2g-4(a)(1)(i) | o | Rule l2h-3(b)(l)(i) | o | |||
| Rule l2g-4(a)(1)(ii) | o | Rule 12h-3(b)(1)(ii) | o | |||
| Rule l2g-4(a)(2)(i) | o | Rule l2h-3(b)(2)(i) | o | |||
| Rule l2g-4(a)(2)(ii) | o | Rule l2h-3(b)(2)(ii) | o | |||
| Rule l5d-6 | x |
| Approximate number of holders of record as of the certification or notice date: | None | ||||
Pursuant to the requirements of the Securities Exchange Act of 1934, Skilled Healthcare Group, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
| Date: November 13, 2003 | By: | /s/ Roland G. Rapp | ||
| Roland G. Rapp, Chief Administrative Officer and General Counsel |
Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 of the General Rules and Regulations under the Securities Exchange 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.