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 001-14537
Lodgian, Inc.
(Exact name of registrant as specified in its charter)
3445 Peachtree Road, N.E., Suite 700
Atlanta, Georgia 30326
(Address, including zip code, and telephone number, including area code,
of registrant's principal executive offices)
Common Stock, par value $.01 per share*, Rights to Purchase
Participating Preferred Stock
(Title of each class of securities covered by this Form)
Common Stock, par value $.01 per share*;
Series A Preferred Stock, par value $.01 per share,
Class A Warrants, Class B Warrants
(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)(i) ( )
Rule 12g-4(a)(1)(ii) ( ) Rule 12h-3(b)(1)(ii) ( )
Rule 12g-4(a)(2)(i) ( ) Rule 12h-3(b)(2)(i) ( )
Rule 12g-4(a)(2)(ii) ( ) Rule 12h-3(b)(2)(ii) ( )
Rule 15d-6 ( )
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 (Name of
registrant as specified in charter) has caused this certification/notice to be
signed on its behalf by the undersigned duly authorized person.
Date: November 25, 2002 By: /s/ Daniel E. Ellis
-----------------------------------
Name: Daniel E. Ellis
Title: Secretary and Vice President
Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 of the
General Rules and Regulations under the Securities Exchange Act 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.
* = Pursuant to an Order of the United States Bankruptcy Court for the Southern
District of New York, dated November 5, 2002, which confirmed the First Amended
Joint Plan of Reorganization of Lodgian, Inc., et al., as of the date of this
Form 15, the old common stock of Lodgian, Inc. has been cancelled and new shares
of common stock are being issued.