0001178913-18-003220.txt : 20181231 0001178913-18-003220.hdr.sgml : 20181231 20181231060657 ACCESSION NUMBER: 0001178913-18-003220 CONFORMED SUBMISSION TYPE: 15-12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20181231 DATE AS OF CHANGE: 20181231 EFFECTIVENESS DATE: 20181231 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MAZOR ROBOTICS LTD. CENTRAL INDEX KEY: 0001566844 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-35920 FILM NUMBER: 181258557 BUSINESS ADDRESS: STREET 1: 5 SHACHAM ST. STREET 2: PO BOX 3104 CITY: CAESAREA NORTH INDUSTRIAL PARK STATE: L3 ZIP: 3088900 BUSINESS PHONE: 97246187101 MAIL ADDRESS: STREET 1: 5 SHACHAM ST. STREET 2: PO BOX 3104 CITY: CAESAREA NORTH INDUSTRIAL PARK STATE: L3 ZIP: 3088900 15-12B 1 zk1822408.htm 15-12B



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: 001-35920

MAZOR ROBOTICS LTD.
(Exact name of registrant as specified in its charter)
 
PO Box 3104, 5 Shacham St.
Caesarea North Industrial Park 3079567, Israel
+972-4-618-7100
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Ordinary Shares, par value NIS 0.01 per share
(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)
 
☒
  
Rule 12g-4(a)(2)
 
☐
  
Rule 12h-3(b)(1)(i)
 
☒
  
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: Five (5)

Pursuant to the requirements of the Securities Exchange Act of 1934, Mazor Robotics Ltd. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
 
 
 
Mazor Robotics Ltd.
 
 
 
Date: December 31, 2018
 
By:
 
 /s/ Sharon Levita
 
 
Name:
 
Sharon Levita
 
 
Title: 
 
Chief Financial Officer & Vice President Business Operations