UNITED STATES
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 333-111837
ALLIANCE BANCSHARES, INC.
(Exact name of registrant as specified in its charter)
210-214 West Morris Street, Dalton, Georgia 30720
(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common stock, $0.10 par value
(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) [ ]
Rule 12g-4(a)(1)(ii) [ ]
Rule 12g-4(a)(2)(i) [ ]
Rule 12g-4(a)(2)(ii) [ ]
Rule 12h-3(b)(1)(i) [ ]
Rule 12h-3(b)(1)(ii) [ ]
Rule 12h-3(b)(2)(i) [ ]
Rule 12h-3(b)(2)(ii) [ ]
Rule 15d-6 [ ]
Rule 12h-3(d) [X]
Approximate number of holders of record as of the certification or notice date: 383
Pursuant to the requirements of the Securities Exchange Act of 1934, Alliance Bancshares, Inc. caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
Date: November 5, 2004ALLIANCE BANCSHARES, INC.
By:s/Charles Y. Allgood
Charles Y. Allgood,
Vice-Chairman and CEO
