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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 15
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CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER
SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OR
SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTION 13
AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
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Commission File Number: 333-102495
Mobile Tire Renew (International), Inc.
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(Exact name of registrant as specified in its charter)
5510 Harvestor Road,
Burlington, Ontario, Canada, L7L 5V4
Telephone: 416 806 8245
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(Address including zip code and telephone number, including area code,
of registrant's principle executive offices)
6,625,000 Common Shares
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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 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 certification or notice date:
As of April 28, 2004, there are approximately 29 shareholders.
Pursuant to the requirements of the Securities Exchange Act of 1934, Mobile
Tire Renew (International), Inc. has caused this certification/notice to be
signed on its behalf by the undersigned duly authorized person.
Mobile Tire Renew (International), Inc. hereby withdrawals its registration
statement filed on form SB-2 with the Securities and Exchange Commission on
January 14, 2003. The Company withdraws its statement in order to evaluate its
current business model and assess current and future strategies. We feel it is
in the best interest of the public that this action is taken. There have been no
offers or sales of the securities made to date.
Date: April 30, 2004 By: /s/ Garry Drisdelle
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Garry Drisdelle
President, Chief Executive Officer
Chief Financial Officer and Chair
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 signature.