UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 REQUEST FOR WITHDRAWAL Date of Request: November 17, 2003 Black Lake, Inc., ----------------- (Exact name of registrant as specified in its charter) Nevada 8742 03-0427056 - ------ ---- ---------- (State or other jurisdiction (Primary Standard Industrial (I.R.S. Employer of incorporation or Classification Code Number) Identification No.) organization 3187-G Airway Avenue, Costa Mesa, California 92626 (Address of registrant's principal executive offices) (Zip Code) (949)831-7874 --------------- (Registrant's Telephone Number, Including Area Code) Securities Act registration statement file number to which this form relates: 333-99425 ITEM 1. WITHDRAWAL OF REGISTRATION STATEMENT. - --------------------------------------------- On September 13, 2002, Black Lake, Inc., a Nevada corporation, filed a Registration Statement on Form SB-2, File No. 333-99547, with the Securities and Exchange Commission. The Board of Directors of Black Lake, Inc., have determined that it is the best interests of the company and its shareholders to request a withdrawal of the Registration Statement on Form SB-2, File No. 333-99547. None of the shares being offered pursuant to the registration statement have been offered or sold. SIGNATURES Pursuant to the requirements of the Exchange Act of 1934 the Registrant has duly caused this Request for Withdrawal to be signed on its behalf by the undersigned in the City of Costa Mesa, California, on November 17, 2003. Black Lake, Inc. a Nevada corporation By: /s/ Peg Warren -------------------------- Peg Warren Its: President