Cash Systems Inc - Termination of Registration of a Class of Security under Section 12(b) (15-12B)
August 11 2008 - 6:01AM
Edgar (US Regulatory)
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
001-31955
Cash Systems, Inc.
(Exact name of registrant as specified in its charter)
7350 Dean Martin Drive, Suite 309, Las Vegas, NV 89139 (702) 987-7169
(Address, including zip code, and telephone number, including area code, of
registrants principal executive offices)
Common Stock, $0.001 par value per share
(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:
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Rule 12g-4(a)(1)
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þ
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Rule 12g-4(a)(2)
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o
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Rule 12h-3(b)(1)(i)
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o
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Rule 12h-3(b)(1)(Ii)
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o
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Rule 15d-6
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o
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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, as amended, Cash Systems,
Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly
authorized person.
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Date: August 8, 2008
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By:
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/s/ Michael Rumbolz
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Michael Rumbolz, President
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Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 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.
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