Termination of Registration of a Class of Security Under Section 12(b) (15-12b)
August 23 2016 - 11:02AM
Edgar (US Regulatory)
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 001-34256
HeartWare
International, Inc.
(Exact name of registrant as specified in its charter)
c/o Medtronic, Inc.
710
Medtronic Parkway
Minneapolis, Minnesota 55432
(763)-514-4000
(Address,
including zip code, and telephone number, including area code, of registrants principal executive offices)
3.50% Convertible
Senior Notes due 2017
(Title of each class of securities covered by this Form)
Common Stock, $0.001 par value per share
(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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¨
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Rule 12g-4(a)(2)
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¨
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Rule 12h-3(b)(1)(i)
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x
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Rule 12h-3(b)(1)(ii)
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¨
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Rule 15d-6
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¨
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Rule 15d-22(b)
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¨
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Approximate number of holders of record as of the certification or notice date:
3.50%
Convertible Senior Notes due 2017: Less than 300
Pursuant to the requirements of the Securities Exchange Act of 1934, HeartWare
International, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.
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HEARTWARE INTERNATIONAL, INC.
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Date: August 23, 2016
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By:
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/s/ Philip J. Albert
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Name: Philip J. Albert
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Title: Vice President
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