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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: 000-17962
APPLEBEE'S INTERNATIONAL, INC.
(Exact name of registrant as specified in its charter)
4551 W. 107th Street
Overland Park, KS 66207
(913) 967-4000
(Address, including zip code, and telephone number, including area
code, of registrant's principal executive offices)
Right to purchase Series A Participating
Cumulative Preferred Stock (Title of each
class of securities covered by this Form)
Common Stock, $.01 par value
(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)(i) [ X ] Rule 12h-3(b)(1)(i) [ ]
Rule 12g-4(a)(1)(ii) [ ] Rule 12h-3(b)(1)(ii) [ ]
Rule 12g-4(a)(2)(i) [ ] Rule 12h-3(b)(2)(i) [ ]
Rule 12g-4(a)(2)(ii) [ ] Rule 12h-3(b)(2)(ii) [ ]
Rule 15d-6 [ ]
Approximate number of holders of record as of the certification or notice date:
None
Pursuant to the requirements of the Securities Exchange Act of 1934, Applebee's
International, Inc. has caused this certification/notice to be signed on its
behalf by the undersigned duly authorized person.
APPLEBEE'S INTERNATIONAL, INC.
Date: November 23, 2004 By: /s/ Steven K. Lumpkin
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Name: Steven K. Lumpkin
Title: Executive Vice President and
Chief Financial Officer
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