-----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, JYFj8qQ89HVcki/o+yHu8RoHezwu9CeCKH1OZsb1/FncFhr0MDTT8Xdg9C9fVZzl eGGnvw11AovzRVGWrHdJZw== 0000821475-96-000002.txt : 19960201 0000821475-96-000002.hdr.sgml : 19960201 ACCESSION NUMBER: 0000821475-96-000002 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960131 SROS: NONE FILER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENT LIFE CAPITAL CORP CENTRAL INDEX KEY: 0000821475 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 621321628 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-20617 FILM NUMBER: 96509252 BUSINESS ADDRESS: STREET 1: ONE FOUNTAIN SQ STREET 2: LAW DEPT 6TH FLR CITY: CHATTANOOGA STATE: TN ZIP: 37402 BUSINESS PHONE: 6157551011 MAIL ADDRESS: STREET 1: ONE FOUNTAIN SQUARE CITY: CHATTANOOGA STATE: TN ZIP: 37402 15-12G 1 [ver] 4 [sty] [files] [charset] 82 ANSI (Windows, IBM CP 1252) [revisions] 0 [prn] IBM LaserPrinter 4029 PS39 [port] LPT3.OS2 [lang] 1 [desc] Form 15 - terminating the duty to file report re: Rule 12g-4(a)(1)(i) re: PLCC 9.65% & 10% notes due 94 & 97 823045413 19 772746832 503 2 0 0 0 0 1 [fopts] 0 1 0 0 [lnopts] 2 Body Text 1 [docopts] 5 2 [GramStyle] [tag] Body Text 2 [fnt] Helvetica 240 0 16384 [algn] 8 1 0 0 0 [spc] 33 273 1 0 0 1 100 [brk] 4 [line] 8 0 1 0 1 1 1 10 10 1 [spec] 0 0 0 1 1 0 16 0 0 [nfmt] 280 1 2 . , $ Body Text 0 0 [tag] Body Single 3 [fnt] Times New Roman 240 0 49152 [algn] 1 1 0 0 0 [spc] 33 273 1 0 0 1 100 [brk] 4 [line] 8 0 1 0 1 1 1 10 10 1 [spec] 0 0 0 1 1 0 0 0 0 [nfmt] 280 1 2 . , $ Body Single 0 0 [tag] Header 4 [fnt] Times New Roman 240 0 49152 [algn] 1 1 0 0 0 [spc] 33 273 1 0 0 1 100 [brk] 4 [line] 8 0 1 0 1 1 1 10 10 1 [spec] 0 0 0 1 1 0 0 0 0 [nfmt] 280 1 2 . , $ Header 0 0 [tag] Footer 5 [fnt] Times New Roman 240 0 49152 [algn] 1 1 0 0 0 [spc] 33 273 1 0 0 1 100 [brk] 4 [line] 8 0 1 0 1 1 1 10 10 1 [spec] 0 0 0 1 1 0 0 0 0 [nfmt] 280 1 2 . , $ Footer 0 0 [lay] Standard 513 [rght] 15840 12240 1 1440 1440 1 1440 1440 2 1 0 1 1 2 1 1440 10800 5 1 720 1 1440 1 2880 1 4320 1 5760 [hrght] [lyfrm] 1 11200 0 0 12240 1440 0 1 3 1 0 0 0 0 0 0 0 0 1 [frmlay] 1440 12240 1 1440 72 1 360 1440 0 1 0 1 1 0 1 1440 10800 2 2 4680 3 9360 [txt] > [frght] [lyfrm] 1 13248 0 14400 12240 15840 0 1 3 1 0 0 0 0 0 0 0 0 2 [frmlay] 15840 12240 1 1440 360 1 14472 1440 0 1 0 1 1 0 1 1440 10800 2 2 4680 3 9348 [txt] > [elay] [lay] 1 513 [rght] 15840 12240 1 1440 720 1 720 1440 0 0 0 0 0 0 1 1440 10800 1 1 600 [hrght] [lyfrm] 1 11200 0 0 12240 720 0 1 3 1 0 0 0 0 0 0 0 0 3 [frmlay] 720 12240 1 1200 72 1 360 1440 0 1 0 1 1 0 1 1200 10800 2 2 4680 3 9360 [txt] <:R1,1,1,600,><:f200,QCourier,0,0,0> > [frght] [lyfrm] 1 13248 0 15120 12240 15840 0 1 3 1 0 0 0 0 0 0 0 0 4 [frmlay] 15840 12240 1 1200 360 1 15120 1440 0 1 0 1 1 0 1 1200 10800 2 2 4680 3 9348 [txt] > [elay] [l1] 1 [pg] 2 4 0 46 576 0 0 0 65535 27 1 65535 0 0 0 0 0 0 0 0 0 65535 0 0 65535 0 0 0 0 0 61 0 31 1025 0 0 0 240 2 1 65535 0 0 0 0 0 0 0 0 0 65535 0 0 65535 0 0 0 0 0 [edoc] @Body Single@<+@><:#202,9360><-!><-!><-!><-!><:f200,QCourier,>< @Body Single@<+@><:#202,9360><:f200,QCourier,>< FORM 15 @Body Single@<+@><:#202,9360><:f200,QCourier,>< PROVIDENT LIFE CAPITAL CORPORATION @Body Single@<+@><:f200,QCourier,><<:f><:f200,QCourier,><:p<* >> @Body Single@<+@><:#202,9360><:f200,QCourier,><:f><:f200,QCourier,>< @Body Single@<+B><:#202,9360><:f200,QCourier,>SECURITIES AND EXCHANGE COMMISSION @Body Single@<+B><:#202,9360><:f200,QCourier,><-!> @Body Single@<+B><:#202,9360><:f200,QCourier,>W<:f200,QCourier,0,0,0>as hington, D.C. 20549 @Body Single@<:s><:S+240><:#240,9360><:f200,QCourier,0,0,0> @Body Single@<+B><:s><:S+240><:#240,9360><:f200,QCourier,0,0,0>FORM 15 @Body Single@<:#202,9360><:f200,QCourier,> @Body Single@<+B><:s><:#202,9360><:f200,QCourier,>Certification and Noti<:f200,QCourier,0,0,0><-!>ce of Termination of Registration @Body Single@<+B><:#202,9360><:f200,QCourier,0,0,0> under Section 12(g) <:f200,QCourier,0,0,0>of the Securities Exchange Act<:f200,QCourier,0,0,0> of 1934 @Body Single@<+B><:#202,9360><:f200,QCourier,0,0,0> or Suspension of Duty to File Reports <:f200,QCourier,0,0,0>Under Section 13 and @Body Single@<+B><:#202,9360><:f200,QCourier,0,0,0>15(d) <:f><:f200,QCourier,0,0,0>of the <:f200,QCourier,0,0,0>Securities Exchange Act of 1934. @Body Single@<+B><:s><:#202,9360><:f200,QCourier,0,0,0> @Body Single@<:s><:#202,9360><:f200,QCourier,0,0,0> @Body Single@<:s><:R1,2,3,9010,3,9250,><:#202,9360><:f200,QCourier,0,0, 0>Commission file number <:f200,QCourier,>33-17017 @Body Single@<:s><:R1,2,3,9010,3,9250,><:#202,9360><:f200,QCourier,> -- - ------ @Body Single@<+C><:s><:S+240><:R1,1,4,7800,><:#240,9360><:f200,QCourier ,0,0,0> @Body Single@<+B><:s><:S+240><:R1,1,4,7800,><:#240,9360><:f200,QCourier ,0,0,0>PROVIDENT LIFE CAPITAL CORPORATION @Body Single@<+B><:s><:S+240><:R1,1,4,7800,><:#240,9360><:f200,QCourier ,0,0,0>----------------------------------------------------- @Body Single@<+B><:s><:S+240><:R1,1,4,7800,><:#240,9360><:f200,QCourier ,0,0,0>(Exact name of registrant as specified in its charter) @Body Single@<+C><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0> @Body Single@<+B><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0>1 Fountain Square, Chattanooga, Tennessee 37402 <:f200,QCourier,0,0,0>(423)755-8913 @Body Single@<+B><:s><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,Q Courier,0,0,0>--------------------------------------------------- - --------------------- @Body Single@<+B><:S+240><:R1,2,2,2280,2,7440,><:#480,9360><:f200,QCour ier,0,0,0>(Address, including zip code, and telephone number,<:f200,QCourier,0,0,0>including <:f><:f200,QCourier,0,0,0>area code, of<:f><:f200,QCourier,0,0,0> registrant's principal executive offices) @Body Single@<+B><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0> @Body Single@<+B><:s><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,Q Courier,0,0,0>9.65% Notes Due December 1,1994 and 10% Notes Due November 1, 1997 @Body Single@<+B><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0>------------------------------------------------------- - ------------ @Body Single@<+B><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0>(Title of each class of securities covered by this Form) @Body Single@<+B><:s><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,Q Courier,0,0,0> @Body Single@<+B><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,>None<-#><-#><-#> @Body Single@<+B><:s><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,Q Courier,>-------------------------------------------------------- - ----------- @Body Single@<+B><:s><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,Q Courier,0,0,0>(Titles of all other classes of securities for which a duty to file @Body Single@<+B><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0> reports<:f><:f200,QCourier,0,0,0> under section 13(a) <:f><:f200,QCourier,0,0,0>or 15(d) remains) @Body Single@<:s><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0> @Body Single@<:S+240><:R1,2,2,2280,2,7440,><:#480,9360><:f200,QCourier, 0,0,0>Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to <:f><:f200,QCourier,0,0,0>terminate or suspend the duty to file reports: @Body Single@<:s><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0> @Body Single@<:S+240><:R1,4,1,721,1,3237,1,5040,1,7559,><:#240,9360><:f 200,QCourier,0,0,0>Rule 12g-4(a)(1)(i)<[>X]Rule 12h-3(b)(1)(ii)<[> ] @Body Single@<:S+240><:R1,4,1,721,1,3237,1,5040,1,7559,><:#240,9360><:f 200,QCourier,0,0,0>Rule 12g-4(a)(1)(ii)<[> ]Rule 12h-3(b)(2)(i)<[> ] @Body Single@<:S+240><:R1,4,1,721,1,3237,1,5040,1,7559,><:#240,9360><:f 200,QCourier,0,0,0>Rule 12g-4(a)(2)(i)<[> ]Rule 12h-3(b)(2)(ii)<[> ] @Body Single@<:S+240><:R1,4,1,721,1,3237,1,5040,1,7559,><:#240,9360><:f 200,QCourier,0,0,0>Rule 12g-4(a)(2)(ii)<[> ]Rule 15d-6<[> ] @Body Single@<:S+240><:R1,4,1,721,1,3237,1,5040,1,7559,><:#240,9360><:f 200,QCourier,0,0,0>Rule 12h-3(b)(1)(i)<[> ] @Body Single@<:s><:S+240><:R1,4,1,721,1,3237,1,5040,1,7559,><:#240,9360 ><:f200,QCourier,0,0,0> @Body Single@<:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCourier, 0,0,0>Approximate number of holders of record as of the certification @Body Single@<:s><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0>or notice date: <:f><:f200,QCourier,0,0,0>None @Body Single@<:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCourier, 0,0,0> - ----------------<:f> @Body Single@<:s><:S+240><:R1,2,2,2280,2,7440,><:#240,9360><:f200,QCour ier,0,0,0> @Body Single@<:S+240><:R><:#720,9360><:f200,QCourier,>Pursuant to the requirements of the Securities Exchange Act of 1934, Provident Life Capital Corporation has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person. @Body Single@<:S+240><:#240,9360><:f200,QCourier,> @Body Single@<:s><:S+240><:#240,9360><:f200,QCourier,> @Body Single@<+C><:S+240><:R1,2,1,4680,1,5220,><:#240,9360><:f200,QCour ier,>DATE: January 30, 1996 BY: /s/Susan N. Roth <:f> @Body Single@<+C><:s><:S+240><:R1,2,1,4680,1,5220,><:#240,9360><:f200,Q Courier,> ------------------------------ @Body Single@<+C><:s><:S+240><:R1,2,1,4680,1,5220,><:#240,9360><:f200,Q Courier,> Susan N. Roth @Body Single@<+C><:s><:S+240><:R1,2,1,4680,1,5220,><:#240,9360><:f200,Q Courier,> Counsel and Corporate Secretary<:f> @Body Single@<+C><:s><:S+240><:R1,2,1,4680,1,5220,><:#240,9360><:f,QCou rier,> @Body Single@<+C><:s><:S+240><:R1,2,1,4680,1,5220,><:#240,9360><:f,QCou rier,> @Body Single@<+C><:s><:S+240><:R1,2,1,4680,1,5220,><:#240,9360><:f,QCou rier,> @Body Single@<+C><:S+240><:R1,2,1,4680,1,5220,><:#240,9360><:f120,QCour ier,><:f><:f,2Times New Roman,>< @Body Single@<+C><:S+240><:R1,2,1,4680,1,5220,><:#240,9360><:f,2Times New Roman,>< > [Embedded] 00011191 -----END PRIVACY-ENHANCED MESSAGE-----