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 333-173278
Ameriana 401(k) Plan
(Exact name of registrant as specified in its charter)
2118 Bundy Avenue
New Castle, Indiana 47263-1048
(765) 529-2230
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
Plan Interests
(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 12g-4(a)(1) | | ¨ |
Rule 12g-4(a)(2) | | ¨ |
Rule 12h-3(b)(1)(i) | | x |
Rule 12h-3(b)(1)(ii) | | ¨ |
Rule 15d-6 | | ¨ |
Rule 15d-22(b) | | ¨ |
Approximate number of holders of record as of the certification or notice date: None*
* | As a result of the merger of Ameriana Bancorp with and into First Merchants Corporation, the Ameriana 401(k) Plan (the “Plan”) is no longer open to new investment. Therefore, interests in the Plan no longer require registration. Accordingly, this Form 15 is being filed to suspend the Plan’s duty to file reports under Section 15(d) of the Exchange Act, including onForm 11-K. |
Pursuant to the requirements of the Securities Exchange Act of 1934, Ameriana 401(k) Plan has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
| | | | | | |
Date: April 8, 2016 | | | | Ameriana 401(k) Plan |
| | | | By: | | First Merchants Corporation (as successor by merger to Ameriana Bancorp), its Administrator |
| | | |
| | | | By: | | /s/ Mark K. Hardwick |
| | | | | | Mark K. Hardwick, Executive Vice President and Chief Financial Officer |