UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
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 001-13012
H.E.R.C. PRODUCTS INCORPORATED
1420 Columbus Avenue
Portsmouth, Virginia 23704
(757)-393-0002
(Address, including zip code, and telephone number, including area code, of registrants principal executive offices)
Common Stock, $0.01 par value per share
None
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) | þ | Rule 12h-3(b)(1)(ii) | o | |||||||
Rule 12g-4(a)(1)(ii) | o | Rule 12h-3(b)(2)(i) | o | |||||||
Rule 12g-4(a)(2)(i) | o | Rule 12h-3(b)(2)(ii) | o | |||||||
Rule 12g-4(a)(2)(ii) | o | Rule 15d-6 | o | |||||||
Rule 12h-3(b)(1)(i) | þ |
Approximate number of holders of record as of the certification or notice date: 193
Pursuant to the requirements of the Securities Exchange Act of 1934, H.E.R.C. Products Incorporated has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
DATE: November 18, 2004 | By: | /s/ S. Steven Carl | ||
Name: | S. Steven Carl | |||
Title: | Chairman of the Board of Directors, Chief Executive Officer, President, and Acting Chief Financial Officer | |||