- Termination of Registration of a Class of Security under Section 12(g) (15-12G)
March 21 2011 - 4:25PM
Edgar (US Regulatory)
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UNITED
STATES
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OMB APPROVAL
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OMB Number
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3235-0167
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SECURITIES AND
EXCHANGE COMMISSION
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Expires:
Estimated average burden
hours per response
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October 31, 2013
1.50
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Washington, D.C. 20549
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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 AND EXCHANGE ACT OF
1934
Commission File Number _________________________________
GOLDEN PATRIOT CORP.
(Exact
name of registrant as specified in its charter)
#207 – 5005 ELBOW
DRIVE S.W., CALGARY, AB T2S 2T6
(Address, including zip code, and
telephone number, including area code, of registrant’s principal executive
offices)
COMMON STOCK
(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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[X ]
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Rule 12g-4(a)(2)
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[X ]
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Rule 12h-3(b)(1)(i)
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[ ]
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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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Approximate number of holders of record as of the
certification date:
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34
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Pursuant to the requirements of the Securities Exchange Act of
1934 GOLDEN PATRIOT CORP. has caused this certification/notice to be signed on
its behalf by the undersigned duly authorized person.
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Date:
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March 21
st
, 2011
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By:
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/s/ Michael Gelmon
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Name:
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Michael Gelmon
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Title:
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Chief Executive Officer
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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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Persons who respond to the collection of information
contained
in this form are not required to respond unless the form displays
a
currently valid OMB control number.
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