0001002105-16-000199.txt : 20160617 0001002105-16-000199.hdr.sgml : 20160617 20160617154844 ACCESSION NUMBER: 0001002105-16-000199 CONFORMED SUBMISSION TYPE: 15-15D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20160617 DATE AS OF CHANGE: 20160617 EFFECTIVENESS DATE: 20160617 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OWENS & MINOR INC/VA/ CENTRAL INDEX KEY: 0000075252 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 541701843 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-15D SEC ACT: 1934 Act SEC FILE NUMBER: 033-32497 FILM NUMBER: 161720065 BUSINESS ADDRESS: STREET 1: 9120 LOCKWOOD BLVD CITY: MECHANICSVILLE STATE: VA ZIP: 23116 BUSINESS PHONE: 8047237000 MAIL ADDRESS: STREET 1: 9120 LOCKWOOD BLVD CITY: MECHANICSVILLE STATE: VA ZIP: 23116 FORMER COMPANY: FORMER CONFORMED NAME: O&M HOLDING INC DATE OF NAME CHANGE: 19940504 FORMER COMPANY: FORMER CONFORMED NAME: OWENS & MINOR INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: OWENS MINOR & BODEKER INC DATE OF NAME CHANGE: 19811124 15-15D 1 omiform1506162016.htm
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
033-32497
    
 
Owens & Minor 401(k) Savings and Retirement Plan
 (Exact name of registrant as specified in its charter)

Owens & Minor, Inc.
9120 Lockwood Blvd.
Mechanicsville, Virginia 23116
(804) 723-7000
 (Address, including zip code, and telephone number, including area code,
of registrant's principal executive offices)

Plan interests in the  Owens & Minor 401(k) Savings and Retirement Plan
(Title of each class of securities covered by this Form)

Owens & Minor, Inc. Common Stock, $2 par value (1)
(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)
  
☐
  
 
Rule 12g-4(a)(2)
  
☐
  
 
Rule 12h-3(b)(1)(i)
  
☒
  
 
Rule 12h-3(b)(1)(ii)
  
☐
  
 
Rule 15d-6
  
☐
  

 
 Approximate number of holders of record as of the certification or notice date:  None(2)

(1) Although the duty to file reports under Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), has been terminated with respect to the Owens & Minor 401(k) Savings and Retirement Plan (the "Plan"), the duty to file reports under Section 13(a) or 15(d) remains with respect to Owens & Minor, Inc.'s common stock, $2 par value (the "Common Stock").

(2) The Plan no longer offers Common Stock as an investment option. Therefore, interests in the Plan no longer require registration. Accordingly, this Form 15 is being filed solely to suspend the Plans' duty to file reports under Section 15(d) of the Exchange Act, including on Form 11-K.
 
 

Pursuant to the requirements of the Securities Exchange Act of 1934, the Owens & Minor 401(k) Savings and Retirement Plan has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
 

 
Owens & Minor 401(k) Savings and Retirement Plan
  
       
Date: June 17, 2016
By:
  /s/ Jay Romans
  
   
Jay Romans
  
   
Senrior Vice President, Human Resources
  


2