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UNITED STATES OMB APPROVAL
SECURITIES AND EXCHANGE COMMISSION ---------------------------
WASHINGTON, D.C. 20549 OMB Number 3235-0167
Expires: October 31, 2001
Estimated average burden
hours per response....1.50
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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 0-25575
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@PLAN.INC
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(Exact name of registrant as specified in its charter)
THREE LANDMARK SQUARE, SUITE 400, STAMFORD, CT 06901, (203) 961-0340
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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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(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) [X]
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 [X]
Approximate number of holders of record as of the certificate or notice date: NONE
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Effective as of February 2, 2001, the Registrant was acquired by
DoubleClick Inc., a Delaware corporation ("DoubleClick"), by way of a merger
(the "Merger") in which the Registrant merged with and into DoubleClick and
ceased to exist. In connection with the Merger, each share of common stock of
the Registrant outstanding immediately prior to the consummation of the Merger
was exchanged for $3.45 in cash and .2829 shares of DoubleClick common stock,
and DoubleClick assumed all of the Registrant's stock options and warrants
outstanding at the effective date of the Merger, based on a .4975 exchange
ratio. Accordingly, as of the date hereof, there are no holders of record of
Common Stock of the Registrant.
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Pursuant to the requirements of the Securities Exchange Act of 1934,
@plan.inc has caused this certification/notice to be signed on its behalf by the
undersigned duly authorized person.
Date: February 2, 2001 By: /s/ Jeff Epstein
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Name: Jeff Epstein
Title: Executive 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 by typed or printed under the signature.
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