-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, CpFHMwJ3lpMO+XVPUqpIxL8c9XcqesaCpICN5UnqKo2JDpAGyvHIOV8HQulWBCRW E1CeaRN/NTEiqAKicj2R/w== 0000899140-04-000451.txt : 20040319 0000899140-04-000451.hdr.sgml : 20040319 20040319140426 ACCESSION NUMBER: 0000899140-04-000451 CONFORMED SUBMISSION TYPE: 15-12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040319 EFFECTIVENESS DATE: 20040319 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ELDERTRUST CENTRAL INDEX KEY: 0001043236 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 232932973 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-13807 FILM NUMBER: 04679645 BUSINESS ADDRESS: STREET 1: 101 E STATE ST STREET 2: STE 100 CITY: KENNETT SQUARE STATE: PA ZIP: 19348 BUSINESS PHONE: 6109254200 MAIL ADDRESS: STREET 1: 101 EAST STATE STREET STREET 2: STE 100 CITY: KENNETT SQUARE STATE: PA ZIP: 19348 15-12B 1 et1327987.txt INITIAL FILING 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: 001-13807 --------- ElderTrust - -------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) 10350 Ormsby Park Place, Suite 300, Louisville, Kentucky 40233 Telephone: (502) 357-9000 - -------------------------------------------------------------------------------- (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Common Shares of Beneficial Interest, Par Value $0.01 Per Share (including Series A Junior Participating Preferred Share Purchase Rights) - -------------------------------------------------------------------------------- (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)(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: One --- Pursuant to the requirements of the Securities Exchange Act of 1934, ElderTrust has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Date: March 19, 2004 By: /s/ T. Richard Riney -------------------- Name: T. Richard Riney Title: Secretary -----END PRIVACY-ENHANCED MESSAGE-----