Termination of Registration of a Class of Security Under Section 12(b) (15-12b)
12 Septiembre 2016 - 3:40PM
Edgar (US Regulatory)
UNITED STATES
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:
001-05270
AMIC
Holdings, Inc. (formerly known as American Independence Corp.)
(Exact Name of Registrant as Specified in
Its Charter)
485
Madison Avenue
New York, NY 10022
(212) 355-4141
(Address, Including Zip Code, and Telephone
Number, Including Area Code, of Registrant's Principal Executive Offices)
Common
Stock, par value $0.001 per share
1
(Title of Each Class of Securities Covered
By This Form)
None
(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)
|
x
|
Rule 12g-4(a)(2)
|
¨
|
Rule 12h-3(b)(1)(i)
|
x
|
Rule 12h-3(b)(1)(ii)
|
¨
|
Rule 15d-6
|
¨
|
Rule 15d-22(b)
|
¨
|
Approximate number of holders of record
as of the certification or notice date:
Two
1
As a result of the merger of American Independence Corp. with and into AMIC Holdings, Inc. on August 31, 2016, the shares of common
stock, par value $0.01 per share, of American Independence Corp. ceased to be outstanding.
Pursuant to the requirements
of the Securities Exchange Act of 1934 AMIC Holdings, Inc. has caused this certification/notice to be signed on its behalf by the
undersigned duly authorized person.
Date: September 12, 2016
|
AMIC Holdings,
Inc.
|
|
|
|
By:
|
/s/ David T. Kettig
|
|
|
Name: David T. Kettig
Title: President
|
Instruction: This form is required by Rules
12g-4, 12h-3, 15d-6 and 15d-22 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.
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