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. o

Commission File Number: 000-23903

 

eAutoclaims, Inc.

(Exact name of registrant as specified in its charter)

 

110 E. Douglas Road, Oldsmar, Florida 34677, (813) 749-1020

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

 

Common Stock, par value $0.001 per share

Common Stock Purchase Warrants

(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(s) 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)

o

Rule 12h-3(b)(1)(i)

x

Rule 12h-3(b)(1)(ii)

o

Rule 15d-6

o

 

Approximate number of holders of record as of the certification or notice date:  269 holders of record of the Common Stock,   24 holders of record of the Warrants.

 

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

 

January 23, 2009

 

By:

 

/s/ Jeffrey D.Dickson

Date

 

 

 

Jeffrey D. Dickson

CEO

 

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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