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 0-17600
Common Goal Health Care Participating Mortgage Fund L.P.
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(Exact name of registrant as specified in its charter)
1100 Ocean Shore Blvd., Suite 10, Ormond Beach, FL 32176 (904) 441-6633
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(Address, including zip code, and telephone number, including area
code, of registrant's principal executive offices)
Units of Limited Partnership Interest
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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) [X] 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) [ ]
Approximate number of holders of record as of the certification or notice
date: 0
Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has caused his certification/notice to be signed on its behalf by the
undersigned duly authorized person.
By: Common Goal Capital Group, Inc.,
Managing General Partner
Date: May 11, 2001 By: /s/Albert E. Jenkins, III
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Albert E. Jenkins, III
President, Chief Executive
Officer and Acting
Chief Financial Officer