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: 0-549
Schultz Sav-O Stores, Inc.
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(Exact name of registrant as specified in its charter)
2215 Union Avenue, Sheboygan Avenue 53081 (920) 457-4433
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, $0.05 par value
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(Title of each class of securities covered by this Form)
None
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(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)(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 of securities covered by this
Form as of the certification or notice date: One
Pursuant to the requirements of the Securities Exchange Act of 1934,
Schultz Sav-O Stores, Inc. has caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
DATE: June 11, 2001 By: /s/ Elwood F. Winn
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Elwood F. Winn, President and
Chief Executive Officer