-----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, MEJqhohWJLGvLALubjmN4M5qjHbFX0DWqVh8JrYA212tvW1Pd+9CSMRfhX797PDa Kl4TDp/inxJNSScI85y9ng== 0000892712-05-001172.txt : 20051228 0000892712-05-001172.hdr.sgml : 20051228 20051228164758 ACCESSION NUMBER: 0000892712-05-001172 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20051228 DATE AS OF CHANGE: 20051228 EFFECTIVENESS DATE: 20051228 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SHOPKO STORES INC CENTRAL INDEX KEY: 0000878314 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-VARIETY STORES [5331] IRS NUMBER: 410985054 STATE OF INCORPORATION: WI FISCAL YEAR END: 0129 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-24335 FILM NUMBER: 051289284 BUSINESS ADDRESS: STREET 1: 700 PILGRIM WAY CITY: GREEN BAY STATE: WI ZIP: 54304 BUSINESS PHONE: 9204972211 MAIL ADDRESS: STREET 1: PO BOX 19060 CITY: GREEN BAY STATE: WI ZIP: 54307-9060 15-12G 1 skofm15.htm



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    001-10876   

                           ShopKo Stores, Inc.                           

(Exact name of registrant as specified in its charter)

                          700 Pilgrim Way, Green Bay, Wisconsin 54304, (920) 429-2211                         

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

                   $0.01 Par Value Common Stock                   

(Title of each class of securities covered by this Form)

                                                                           N/A                                                                          

(Title 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, ShopKo Stores, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

Date:     December 28, 2005    

By:

/s/ Peter G. Vandenhouten                                       

Peter G. Vandenhouten

Assistant General Counsel/Secretary







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