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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 000-23474
Triple S Plastics, Inc.
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(Exact name of registrant as specified in its charter)
7950 Moorsbridge Road, Suite 200, Portage, Michigan 49024, 616-327-3417
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, No par value
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(Title of each class of securities covered by this Form)
None
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(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) [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 as of the certification or notice
date: One
Pursuant to the requirements of the Securities Exchange Act of 1934, Triple S
Plastics, Inc. has caused this certification/notice to be signed on its behalf
by the undersigned duly authorized person.
DATE: August 15, 2001 By: /s/ A. Christian Schauer
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Name: A. Christian Schauer
Title: Chief Executive Officer