SEC Info - AMIC Holdings, Inc. - ‘15-12B’ on 9/12/16

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AMIC Holdings, Inc. – ‘15-12B’ on 9/12/16

On: Monday, 9/12/16, at 4:38pm ET · Effective: 9/12/16 · Accession #: 1144204-16-123625 · File #: 1-05270

  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

 9/12/16  AMIC Holdings, Inc.               15-12B      9/12/16    1:12K                                    Vintage/FA

Certification of Termination of Registration of a Class of Securities — Form 15
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 15-12B      Certification of Termination of Registration of a   HTML      9K 
                          Class of Securities

This is an HTML Document rendered as filed. [ Alternative Formats ]

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: 001-05270

AMIC Holdings, Inc. (formerly known as American Independence Corp.)

(Exact Name of Registrant as Specified in Its Charter)

485 Madison Avenue

New York, NY 10022

(212) 355-4141

(Address, Including Zip Code, and Telephone Number, Including Area Code, of Registrant's Principal Executive Offices)

Common Stock, par value $0.001 per share¹

(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)	x
Rule 12g-4(a)(2)	¨
Rule 12h-3(b)(1)(i)	x
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: Two

¹ As a result of the merger of American Independence Corp. with and into AMIC Holdings, Inc. on August 31, 2016, the shares of common stock, par value $0.01 per share, of American Independence Corp. ceased to be outstanding.

Pursuant to the requirements of the Securities Exchange Act of 1934 AMIC Holdings, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

Date: September 12, 2016	AMIC Holdings, Inc.

	By:	/s/ *David T. Kettig*
		Name: David T. Kettig Title: President

Instruction: This form is required by Rules 12g-4, 12h-3, 15d-6 and 15d-22 of the General Rules and Regulations under the Securities Exchange Act of 1934. The registrant shall file with the Commission three copies of Form 15, one of which shall be manually signed. It may be signed by an officer of the registrant, by counsel or by any other duly authorized person. The name and title of the person signing the form shall be typed or printed under the signature.

Dates Referenced Herein and Documents Incorporated by Reference

This ‘15-12B’ Filing	Date	Other Filings

Filed on / Effective on:	9/12/16	SC 13D/A
	8/31/16	25-NSE, 4, 8-K, S-8 POS
		List all Filings

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Filing Submission 0001144204-16-123625 – Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

AMIC Holdings, Inc. – ‘15-12B’ on 9/12/16

On: Monday, 9/12/16, at 4:38pm ET · Effective: 9/12/16 · Accession #: 1144204-16-123625 · File #: 1-05270

Certification of Termination of Registration of a Class of Securities — Form 15Filing Table of Contents

This is an HTML Document rendered as filed. [ Alternative Formats ]

Dates Referenced Herein and Documents Incorporated by Reference

Certification of Termination of Registration of a Class of Securities — Form 15
Filing Table of Contents