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 0-22716
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Bollinger Industries, Inc.
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(Exact name of registrant as specified in its charter)
602 Fountain Parkway, Grand Prairie, Texas 75050, 972-343-1000
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(Address, including zip code, and telephone number, including area code, of
registrant's principal executive offices)
Common Stock, $0.01 par value
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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 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)(i) [X]
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 the certification or notice date:
184
Pursuant to the requirements of the Securities Exchange Act of 1934 Bollinger
Industries, Inc. has caused this certification/notice to be signed on its behalf
by the undersigned duly authorized person.
Date: November 13, 2001 By: /s/ ROSE TURNER
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Rose Turner, Executive Vice President -
Finance, Chief Financial Officer, Chief
Operating Officer, Treasurer, and Secretary