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 33-65948 ROSEWOOD CARE CENTERS CAPITAL FUNDING CORPORATION (Exact name of Registrant as specified in its charter) (See table of Co-Registrants) 11701 BORMAN DRIVE, SUITE 315 ST. LOUIS, MISSOURI 63146 (314) 994-9070 (Address, including zip code, and telephone number, including area code, of Registrants' principal executive offices) 7 1/4% FIRST MORTGAGE REDEEMABLE BONDS DUE NOVEMBER 1, 2013 (Title of each class of securities covered by this Form 15) N/A (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) [ ] 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 12h-3(b)(1)(i) [X] Rule 15d-6 [ ] Approximate number of holders of record as of the certification or notice date: 225 CO-REGISTRANTS Rosewood Care Center, Inc. of Swansea Rosewood Care Center, Inc. of Galesburg Rosewood Care Center, Inc. of East Peoria Rosewood Care Center, Inc. of Peoria Rosewood Care Center, Inc. of Alton Rosewood Care Center, Inc. of Moline Swansea Real Estate, Inc. Galesburg Real Estate, Inc. East Peoria Real Estate, Inc. Peoria Real Estate, Inc. Alton Real Estate, Inc. Moline Real Estate, Inc. (Exact names of Co-Registrants as specified in their charters) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Centers Capital Funding Corporation has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTERS CAPITAL FUNDING CORPORATION, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Swansea has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF SWANSEA, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Galesburg has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF GALESBURG, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Peoria has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF PEORIA, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of East Peoria has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF EAST PEORIA, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Alton has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF ALTON, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Rosewood Care Center, Inc. of Moline has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. ROSEWOOD CARE CENTER, INC. OF MOLINE, Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Swansea Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. SWANSEA REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Galesburg Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. GALESBURG REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Peoria Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. PEORIA REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, East Peoria Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. EAST PEORIA REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Alton Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. ALTON REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, Moline Real Estate, Inc. has caused this report to be signed on its behalf by the undersigned duly authorized person. MOLINE REAL ESTATE, INC., Registrant DATE: September 23, 1999 BY:/s/Larry D. Vander Maten ------------------------ LARRY D. VANDER MATEN President and Director (Principal Executive Officer and Principal Financial and Accounting Officer) 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.