15-12G 1 form-15_efc.txt FORM 15 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 Section 13 and 15(d) of the Securities Exchange Act of 1934. Commission File Number 000-17871 EAGLE FOOD CENTERS, INC. ------------------------------------------------------------------------------- (Exact name of registrant as specified in its charter) 801 First Street East Milan, Illinois 61264 (309) 787-7746 ------------------------------------------------------------------------------- (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) Common Stock 11% Senior Notes due April 15, 2005 ------------------------------------------------------------------------------- (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)(ii) [ ] Rule 12g-4(a)(1)(ii) [ ] Rule 12h-3(b)(2)(i) [ ] Rule 12g-4(a)(2)(i) [ ] Rule 12h-3(b)(2)(ii) [ ] Rule 12g-4(a)(2)(ii) [ ] Rule 15d-6 [ ] Rule 12h-3(b)(1)(i) [ ] Approximate number of holders of record as of the certification or notice date: Common Stock: 3 Senior Notes: 0 Pursuant to the requirements of the Securities Exchange Act of 1934, Eagle Food Centers, Inc. caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. Date: April 19, 2004 By: /s/ Randall McMurray ---------------------------------- Name: Randall McMurray Title: President