15-15D 1 form15.txt FORM 15 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 EXCHAGNE ACT OF 1934. ---------------- Commission file number 0-24039 INDUSTRIAL RUBBER PRODUCTS, INC. (Exact name of registrant as specified in its charter) 3516 13th Avenue East Hibbing, MN 55746 (Address of principal executive offices) (Zip Code) (218) 263-8831 (Issuer's telephone number, including area code) Common Stock (Title of each class of securities covered by this Form) None (Titles of 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 dsignate the appropraite rule provisions(s) relied upon to terminate or suspend the duty to file reports: Rule 12g-4(a)(1)(i) _X_ Rule 12g-4(a)(1)(ii)___ Rule 12g-4(a)(2)(i) ___ Rule 12g-4(a)(2)(ii)___ Rule 12h-3(b)(1)(i) ___ Rule 12h-3(b)(1)(ii)___ Rule 12h-3(b)(2)(i) ___ Rule 12h-3(b)(2)(ii)___ Rule 15d-6 ___ Approximate number of holders of record as of the certification or notice date: 139 Pursuant to the requirements of the Securities Exchange act of 1934 Industrial Rubber Products, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. /s/ James A. Skalski Date: January 12, 2004 ---------------------------------------- James A. Skalski, Comptroller